Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Port Allegany Area Family Practice PC

Organization Family Medicine Physician · NPI 1962469486

Port Allegany Area Family Practice PC provides Family Medicine Physician services in Port Allegany, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Willow St
Port Allegany, PA 16743-1332
Phone: (814) 642-9531
Fax: (814) 642-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X · Licence MD029656E (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA053689 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP008214 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP009929 (PA)

Record details

NPI number1962469486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Shelley — President · (814) 642-9531
Other names Upper Allegheny Medical Center; Upper Allegheny Medical Center
NPI enumeratedApril 27, 2006
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022
Mailing address1 Willow St, Port Allegany, PA 16743-1332

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