HERITAGE VALLEY MEDICAL GROUP, INC (NPI# 1124270707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124270707 |
| Entity Type | Organization |
| Organization Name | HERITAGE VALLEY MEDICAL GROUP, INC |
| Other Organization Name | HVMG FAMILY PRACTICE ASSOCIATES MOON |
| Practice Address |
993 Brodhead Rd Moon Township PA 15108-2331 |
| Practice Telephone | 4122641918 |
| Practice Fax Number | 4122649114 |
| Mailing Telephone | 4122641918 |
| Mailing Fax Number | 4122649114 |
| 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 |
|---|---|---|---|
| OH | 2297465 | 05 | |
| PA | 0014950830029 | 05 |
| Other Name | Type Code |
|---|---|
| HVMG Family Practice Associates Moon | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972931863 | Heritage Valley Medical Group, Inc | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2013-10-31 |
| 1215372933 | Heritage Valley Medical Group, Inc | Specialist | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2013-05-08 |
| 1376889303 | Heritage Valley Medical Group, Inc | Hospitalist | 720 Blackburn Rd, Sewickley, PA 15143-1459 | 2012-12-19 |
| 1720371925 | Heritage Valley Medical Group, Inc | Internal Medicine | 720 Blackburn Rd, First Floor, Sewickley, PA 15143-1459 | 2011-05-20 |
| 1164674768 | Heritage Valley Medical Group, Inc | Family Medicine | 2400 Darlington Rd, Beaver Falls, PA 15010-1305 | 2008-10-15 |
| 1518119114 | Heritage Valley Medical Group, Inc | Internal Medicine | 1307 6th Ave, New Brighton, PA 15066-2129 | 2008-10-15 |
| 1225280803 | Heritage Valley Medical Group, Inc | Family Medicine | 3113 Green Garden Rd, Aliquippa, PA 15001-1000 | 2008-10-15 |
| 1982856563 | Heritage Valley Medical Group, Inc | Family Medicine | 100 Hazel Ln, Sewickley, PA 15143-1249 | 2008-10-15 |
| 1326290909 | Heritage Valley Medical Group, Inc | Family Medicine | 935 Thorn Run Rd, Suite 204, Moon Township, PA 15108-2861 | 2008-10-15 |
| 1831341411 | Heritage Valley Medical Group, Inc | Internal Medicine | 1155 Merchant St, Ambridge, PA 15003-2375 | 2008-10-15 |
| Street Address |
993 BRODHEAD RD |
| City | MOON TOWNSHIP |
| State | PA |
| Zip Code | 15108-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487047486 | Abbey Cotton | Occupational Therapist | 993 Brodhead Rd, Suite 203, Moon Township, PA 15108-2331 | 2015-03-15 |
| 1205236221 | Shelly Brands | Speech-Language Pathologist | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2014-08-27 |
| 1740417500 | Stephen H Beckjord | Counselor | 993 Brodhead Rd, Suite 202, Moon Township, PA 15108-2331 | 2009-06-18 |
| 1487806063 | Heritage Valley Medical Group, Inc. | Internal Medicine | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2008-10-15 |
| 1477705051 | Heritage Valley Medical Group, Inc. | Internal Medicine | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2008-10-15 |
| 1689844607 | Vanilakshmi Mithipati | Family Medicine | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2008-03-05 |
| 1982620720 | Joseph P Klutz | Family Medicine | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2006-07-14 |
| 1013933837 | Nancy H Park | Family Medicine | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550082 | Erin Larue | Counselor | 1010 Brodhead Rd., 2nd Floor, Moon Township, PA 15108 | 2020-05-27 |
| 1457986721 | Favored Wellness Counseling and Consulting, LLC | Counselor | 1010 Broadhead Road, 2nd Floor, Moon Township, PA 15108 | 2020-03-07 |
| 1023597937 | Jessica Marie Neff | Pharmacist | 217 Beagle Drive, Moon Township, PA 15108 | 2018-08-10 |
| 1992281125 | Aurora Recovery Services, LLC | Family Medicine | 993 Brodhead Rd Ste 201, Moon Twp, PA 15108 | 2018-07-11 |
| 1134611916 | Michaela Marie Stubna | Occupational Therapy Assistant | 54 Long Valley, Coraopolis, PA 15108 | 2018-06-06 |
| 1063924520 | Tammy Lynne Rink | Counselor | 1555 Brodhead Rd, Moon Township, PA 15108 | 2017-10-24 |
| 1194243584 | Anthony Joseph Decarlo | Specialist/Technologist | 48 Laurel Ridge Rd, Coraopolis, PA 15108 | 2017-09-06 |
| 1114479102 | Daniel R Fuller Jr. | Pharmacist | 7500 Univsersity Blvd., Moon Township, PA 15108 | 2016-10-26 |
| 1043768823 | Kelsey Kelleher | Physical Therapist | 100 Corporate Center Dr Ste 115, Coraopolis, PA 15108 | 2016-09-21 |
| 1518325208 | Elizabeth Thomeier Dornetto | Counselor | 993 Brodhead Rd Ste 203, Coraopolis, PA 15108 | 2016-02-09 |
| Find all providers in zip 15108 | ||||
| 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 |
|---|---|---|---|---|
| 1346514734 | Medexpress Urgent Care, PC - Pennsylvania | Family Medicine | 8702 University Blvd, Moon Township, PA 15108-4209 | 2012-03-02 |
| 1326290909 | Heritage Valley Medical Group, Inc | Family Medicine | 935 Thorn Run Rd, Suite 204, Moon Township, PA 15108-2861 | 2008-10-15 |
| 1689844607 | Vanilakshmi Mithipati | Family Medicine | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2008-03-05 |
| 1902929359 | Linda D'eramo | Family Medicine | 928 Brodhead Rd, Unit B, First Floor, Moon Township, PA 15108-2375 | 2007-04-09 |
| 1982620720 | Joseph P Klutz | Family Medicine | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2006-07-14 |
| 1013933837 | Nancy H Park | Family Medicine | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | MOON TOWNSHIP |
| Zip Code | 15108 |
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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.