OrganizationActive
Centerville Clinics, Inc.
NPI 1639150105 · Gynecology Physician · Fredericktown, PA
Provider details
- NPI number
- 1639150105
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patricia Martos, Director, Finance/Personnel(724) 632-6801
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1070 Old National Pike
Fredericktown, PA 15333-2114
Phone: (724) 632-6801
Fax: (724) 632-6312
Street-level locationGet directions
Mailing address
1070 Old National Pike
Fredericktown, PA 15333-2114
Registry dates
- Enumerated
- 2005-11-10
- Last updated
- 2010-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.