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

Andrew Licata, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053843813

Andrew Licata, MD is a General Surgery in Uniontown, Pennsylvania. Graduated from West Virginia University School of Medicine in 2017, 9 years ago. Practices with Fayette Physician Network Inc, a 297-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and West Virginia.

Years since qualifying
9
Trained at
West Virginia University School of Medicine
Licensed in
PA, WV
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

500 W Berkeley St
Uniontown, PA 15401-5596
Phone: (724) 430-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD476933 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence F397214 (WV)

Record details

NPI number1053843813
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 31, 2017
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022
Mailing address500 W Berkeley St, Uniontown, PA 15401-5514

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolWEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Fayette Physician Network Inc — 297 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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