Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Port Allegany Area Family Practice PC

Organization Family Medicine Physician · NPI 1962469486

Port Allegany Area Family Practice PC is a Family Medicine Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

1 Willow St
Port Allegany, PA 16743-1332
Phone: (814) 642-9531
Fax: (814) 642-2020
Show map & directions

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

Other providers in Port Allegany