HERITAGE VALLEYMEDICAL GROUP, INC. (NPI# 1073765673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073765673 |
| Entity Type | Organization |
| Organization Name | HERITAGE VALLEYMEDICAL GROUP, INC. |
| Other Organization Name | HVMG LES T. PALLONE D.O. |
| Practice Address |
246 Friendship Cir Beaver PA 15009-9713 |
| Practice Telephone | 7247735207 |
| Mailing Telephone | 7247735207 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2012-06-29 |
| Authorized Official Name | NORMAN F. MITRY (PRESIDENT & CEO) |
| Authorized Official Telephone | 7247734776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015654460023 | 05 | |
| OH | 0202677 | 05 |
| Other Name | Type Code |
|---|---|
| HVMG Les T. Pallone D.O. | Doing Business As Name - Organization |
| Street Address |
246 FRIENDSHIP CIR |
| City | BEAVER |
| State | PA |
| Zip Code | 15009-9713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729996 | David Gerard Thimons | Family Medicine | 246 Friendship Cir, 6th Floor, Beaver, PA 15009-9704 | 2005-06-09 |
| 1134763972 | Jennifer Lee Pfeuffer | Psychologist | 246 Friendship Cir, Beaver, PA 15009-9704 | 2019-11-05 |
| 1124596960 | Megan Nicole Gallo | Internal Medicine | 246 Friendship Cir, Beaver, PA 15009-9704 | 2018-11-09 |
| 1871068833 | Mds Rx LLC | Pharmacy | 246 Friendship Cir, Beaver, PA 15009-9704 | 2018-10-05 |
| 1811387491 | Penn West Ems LLC | Ambulance | 246 Friendship Cir, Beaver, PA 15009-9704 | 2015-02-03 |
| 1871916874 | Comprehensive Healthcare Management Services, LLC | Skilled Nursing Facility | 246 Friendship Cir, Beaver, PA 15009-9704 | 2014-01-27 |
| 1497037238 | Adam Patrick Rose | Pharmacist | 246 Friendship Cir, Beaver, PA 15009-9704 | 2011-09-19 |
| 1720371941 | Nicole M Gumpf | Dietitian, Registered | 246 Friendship Cir, Beaver, PA 15009-9704 | 2011-05-20 |
| 1780789230 | Jung T Min | Specialist | 246 Friendship Cir, Beaver, PA 15009-9713 | 2006-09-13 |
| 1447203476 | Liberty Dialysis -friendship Ridge, LLC | Clinic/Center | 246 Friendship Cir, Beaver, PA 15009-9713 | 2006-05-19 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700969615 | Francesca Chinwe Osegbue-obasi | Family Medicine | 718 Ave A, Beaver, OK 73932-0640 | 2006-10-23 |
| 1497789051 | Leslie T Pallone | Family Medicine | 246 Friendship Circle, Friendship Ridge, Beaver, PA 15009 | 2006-07-10 |
| 1336119247 | Gary Mathews | Family Medicine | 718 Avenue A, Beaver, OK 73932-3101 | 2006-01-24 |
| 1194729996 | David Gerard Thimons | Family Medicine | 246 Friendship Cir, 6th Floor, Beaver, PA 15009-9704 | 2005-06-09 |
| 1144779315 | Woodward Health System LLC | Family Medicine | 623 Avenue C, Beaver, OK 73932-3126 | 2016-09-28 |
| 1568800209 | Rhett R Smith | Family Medicine | 1059 N 100 W, Beaver, UT 84713-1690 | 2013-06-04 |
| 1740573831 | Mojibade K Odebode | Family Medicine | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2011-05-23 |
| 1003122458 | Onsight Health Care LLC | Family Medicine | 178 Laurel Dr, Beaver, PA 15009-1245 | 2010-08-24 |
| 1760610547 | Piper P Kilpatrick | Family Medicine | 1030 Beaner Hollow Rd, Beaver, PA 15009-9723 | 2009-06-30 |
| 1508001538 | Tri-state Medical Group, Inc | Family Medicine | 274 3rd St, Suite 100, Beaver, PA 15009-2333 | 2008-12-04 |
| Find all providers in BEAVER | ||||
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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.