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Deactivated NPI 1114036084 Deactivated / Inactive NPI Male Practitioner

Dr. George M Fatula , MD

Pediatrics • Du Bois, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. George Fatula has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2006
NPI Deactivation Date December 16, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. George Fatula, MD was a registered Pediatrics practicing in Du Bois, PA. Throughout an active medical career spanning 16 years, Dr. Fatula provided care at the practice location at 529 SUNFLOWER DR until profile deactivation on 2022-12-16.

Practice Location & Contact Primary Location

Practice Address

529 Sunflower Dr

Du Bois, PA 158012378

Telephone 8143711510
Fax 8143712922
Associated Practice Facility / Clinic
🏢 Thomas W. Smith, Md Pc Facility NPI 1467563502

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Du Bois, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Du Bois, PA (3505 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License PA MD013412-E

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Ashley Bertram , PA-C

Physician Assistant - Medical

NPI 1053714642

Physician Assistant (Certified)

Rachel Ball , PA-C

Physician Assistant

NPI 1114628716

Physician Assistant (Certified)

Kristie Kline , CRNP

Nurse Practitioner - Family

NPI 1245747120

Certified Registered Nurse Practitioner

Carol Rehermann , PA-C

Physician Assistant

NPI 1275609422

Physician Assistant (Certified)

NPI 1336129220

Doctor of Medicine (M.D.)

NPI 1356319149

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 16, 2022

Record deactivated on December 16, 2022

NPI Profile Active June 16, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 16, 2011

Registered at 529 SUNFLOWER DR, DU BOIS, PA 158012378 (Tel: 8143711510)

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Updated Business Mailing Address June 16, 2011

Registered at 300 E MAIN ST, P O BOX 189, REYNOLDSVILLE, PA 158511282 (Tel: 8143711510)

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Provider Name / Credentials Updated June 16, 2011

Recorded as GEORGE FATULA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2011

Pediatrics (License #MD013412-E in PA)

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Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114036084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: June 16, 2011
Deactivation Date: December 16, 2022

Mailing Address

300 E Main St, P O Box 189

Reynoldsville, PA 158511282

Phone: 8143711510

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.