HERITAGE VALLEY MULTISPECIALTY GROUP, INC (NPI# 1073089918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073089918 |
| Entity Type | Organization |
| Organization Name | HERITAGE VALLEY MULTISPECIALTY GROUP, INC |
| Other Organization Name | HERITAGE VALLEY MEDICAL GROUP, INC. |
| Practice Address |
1030 Beaner Hollow Rd Beaver PA 15009-9723 |
| Mailing Address |
200 Ohio River Blvd Baden PA 15005-1914 |
| Practice Telephone | 7247754242 |
| Mailing Telephone | 7247736802 |
| Mailing Fax Number | 7247707919 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2019-08-26 |
| Authorized Official Name | MR. NORMAN F MITRY (PRESIDENT & CEO) |
| Authorized Official Telephone | 7247734776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015654460092 | 05 | |
| PA | 0015654460093 | 05 |
| Other Name | Type Code |
|---|---|
| Heritage Valley Medical Group, Inc. | Former Legal Business Name - Organization |
| Street Address |
1030 BEANER HOLLOW RD |
| City | BEAVER |
| State | PA |
| Zip Code | 15009-9723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230762 | Carolyn Pavlinch Engle | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2005-07-27 |
| 1013544840 | Breanna Edmiston | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9722 | 2020-03-23 |
| 1225506439 | Heritage Valley Medical Group, Inc. | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2018-11-06 |
| 1528453016 | Jonathan Julian Zigler | Physician Assistant | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2015-04-01 |
| 1093104879 | Nicholas Giacomo Ciccone | Specialist/Technologist | 1030 Beaner Hollow Rd, Beaver, PA 15009-9722 | 2015-01-15 |
| 1558780734 | Barbarajean Andreen | Nurse Practitioner | 1030 Beaner Hollow Rd, Sbo Office, Beaver, PA 15009-9723 | 2014-04-15 |
| 1518380377 | Nancy A Martin | Specialist/Technologist | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2014-01-30 |
| 1316389513 | Alexis Engle Pilato | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2013-07-29 |
| 1780948570 | Tresa Lynne Wize | Podiatrist | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2012-06-27 |
| 1467763003 | Kimberlee Brooke Hobizal | Podiatrist | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2010-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734494 | Renee Thomas | Registered Nurse | 659 3rd Street, Upper Suite, Beaver, PA 15009 | 2019-01-14 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 1861845208 | Gary Koch | Psychologist | 500 Market St Ste 204b, Beaver, PA 15009 | 2016-07-21 |
| 1326367616 | Merakey Pennsylvania | Community/Behavioral Health | 148 Theodore Drive, Chippewa, PA 15009 | 2010-05-26 |
| 1912237215 | Sandra L. Mckeel | Counselor | 697 State Street, Vanport, PA 15009 | 2010-01-08 |
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1700040730 | Marie R Brauch | Counselor | 697 State St, #5, Beaver, PA 15009 | 2008-07-18 |
| 1932376696 | Justin Dosch | Emergency Medicine | 1000 Dutch Run Rd, Beaver, PA 15009 | 2008-05-13 |
| 1023280492 | Paul Michael Kuzma Jr Md | Ophthalmology | 628 Market Street, Bridgewater, PA 15009 | 2008-03-26 |
| 1881877868 | Jaime Michelle Kinkead | Social Worker | 160 Third Street, Beaver, PA 15009 | 2007-12-12 |
| Find all providers in zip 15009 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230762 | Carolyn Pavlinch Engle | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2005-07-27 |
| 1013544840 | Breanna Edmiston | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9722 | 2020-03-23 |
| 1316389513 | Alexis Engle Pilato | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2013-07-29 |
| 1629064654 | Bernard Hirsch | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2005-09-26 |
| 1699761791 | Samuel Dale Yakish | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2005-09-23 |
| 1215923305 | Andrew S Kaye | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2005-09-23 |
| 1275529331 | John D Lehman | Orthopaedic Surgery | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708492 | Sunnyvale Orthopaedic and Rehabilitation Clinic | Orthopaedic Surgery | 1419 N 75th St, Philadelphia, PA 19151-2901 | 2020-10-25 |
| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1770103723 | Steel City Spine and Orthopedic Center LLC | Orthopaedic Surgery | 27 Heckel Rd Ste 203, Mc Kees Rocks, PA 15136-1673 | 2020-04-20 |
| 1053951251 | Lvhn Scranton Orthopedic Specialists | Orthopaedic Surgery | 334 Main St Ste 1, Dickson City, PA 18519-1668 | 2020-01-15 |
| 1689214488 | Geisinger Clinic | Orthopaedic Surgery | 112 N 15th St, Lewisburg, PA 17837-1224 | 2020-01-09 |
| 1770120537 | Marcel Orthopedics LLC | Orthopaedic Surgery | 3717 Chestnut St Apt 202.m, Philadelphia, PA 19104-3164 | 2019-11-28 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1205393006 | Theodore Roosevelt Moran | Orthopaedic Surgery | 30 Salem Rd, Greenville, PA 16125-8409 | 2019-02-27 |
| 1689160731 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 700 Schuylkill Manor Rd Ste 1, Pottsville, PA 17901-3849 | 2018-07-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.