DUBOIS REGIONAL MEDICAL GROUP, PC (NPI# 1093956617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093956617 |
| Entity Type | Organization |
| Organization Name | DUBOIS REGIONAL MEDICAL GROUP, PC |
| Practice Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8143712200 |
| Practice Fax Number | 8143754232 |
| Mailing Telephone | 8143756560 |
| Mailing Fax Number | 8143722848 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2019-01-03 |
| Authorized Official Name | MR. JOHN S SUTIKA (AUTHORIZED OFFICIAL & SECRETARY) |
| Authorized Official Telephone | 8143753385 |
| Is Organization Subpart | Y |
| Parent Organization Name | PENN HIGHLANDS HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | PA | Allopathic & Osteopathic Physicians | |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | PA | Allopathic & Osteopathic Physicians | |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
PA | Allopathic & Osteopathic Physicians | |
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100751931 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 529 Sunflower Dr, Du Bois, PA 158012378 | 8143711510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760786834 | Dubois Regional Medical Group, PC | Physician Assistant | 135 Midway Drive, Suite B, Du Bois, PA 15801-3857 | 2011-01-05 |
| 1780090811 | Dubois Regional Medical Group, PC | Physician Assistant | 761 Johnsonburg Rd, Suite 340, Saint Marys, PA 15857-3483 | 2014-07-09 |
| 1730498452 | Dubois Regional Medical Group, PC | Family Medicine | 20 Industrial Dr, Du Bois, PA 15801-3842 | 2010-09-29 |
| 1770741456 | Dubois Regional Medical Group, PC | Nurse Practitioner | 1033 Turnpike Ave, Suite 200, Clearfield, PA 16830-3061 | 2008-05-29 |
| 1598970949 | Dubois Regional Medical Group, PC | Internal Medicine | 807 Doctors Dr, Clearfield, PA 16830-1240 | 2007-05-11 |
| 1659467199 | Dubois Regional Medical Group, PC | Physician Assistant | 865 Beaver Dr, Du Bois, PA 15801-2511 | 2006-10-04 |
| 1285728915 | Dubois Regional Medical Group, PC | Family Medicine | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2006-10-03 |
| 1609960251 | Dubois Regional Medical Group, PC | Physician Assistant | 2834 Maplevale Rd, Brookville, PA 15825-2318 | 2006-10-03 |
| Street Address |
100 HOSPITAL AVE |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627580 | Dennis E Kirst | Nurse Anesthetist, Certified Registered | 100 Hospital Ave, Penn Highlands Dubois Crna's, Du Bois, PA 15801-1440 | 2005-05-31 |
| 1922607431 | Holly Marie Bianchino | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-10-26 |
| 1932710704 | Kylee Breanne Leckey | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-08-13 |
| 1821615790 | Whitney Claire Haley | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-26 |
| 1255955209 | Jessica Lynn Neill | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-05 |
| 1871117382 | Gregory Vincent Gigliotti | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-06-01 |
| 1235759796 | Madalyn Hoke | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-24 |
| 1033748249 | Rhonda K Mcconnell | Registered Nurse | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-08 |
| 1073142972 | Alexander Westcott | Student in an Organized Health Care Education/Training Program | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-04-03 |
| 1942833538 | Kimberly Erin Miller | Physician Assistant | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2020-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1144869231 | Richard Lee Kerstetter II | Hearing Instrument Specialist | 124 San Juan Rd, Du Bois, PA 15801 | 2020-01-06 |
| 1700368487 | Holly Noel Knoll | Counselor | 490 Jeffers Street, Dubois, PA 15801 | 2018-08-30 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1942790779 | Wendi Dawn Wenzel | Counselor | 490 Jeffers St., Dubois, PA 15801 | 2018-05-17 |
| 1144748443 | Nancy Foradora | Massage Therapist | 200 Narrows Creek Park Road, Dubois, PA 15801 | 2017-09-07 |
| 1679098891 | Deborah Jean Mitchell | Hearing Instrument Specialist | 900 Beaver Drive, Dubois, PA 15801 | 2017-08-09 |
| 1861937757 | Shaun M Kanouff | Counselor | 100 Caldwell Dr., Dubois, PA 15801 | 2016-12-30 |
| 1164897740 | Drayer Physical Therapy Institute LLC | Physical Therapist | 873 Beaver Drive, Dubois, PA 15801 | 2015-12-08 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1548727621 | Drayer Physical Therapy Institute LLC | Clinic/Center | 165 Glen Dr, Manchester, PA 17345-1336 | 2019-02-26 |
| 1962970830 | Drayer Physical Therapy Institute LLC | Clinic/Center | 6560 Carlisle Pike Ste 425, Mechanicsburg, PA 17050-8246 | 2018-11-08 |
| 1598233520 | Drayer Physical Therapy Institute LLC | Clinic/Center | 1606 N Center Ave Ste 170, Somerset, PA 15501-7052 | 2018-11-07 |
| 1477021921 | Tower Health Urgent Care, LLC | Clinic/Center | 1139 Ben Franklin Pkwy, Douglassville, PA 19518 | 2018-11-02 |
| Find all providers with the same taxonomy | ||||
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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.