DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS FAMILY MEDICINE (NPI# 1194100719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194100719 |
| Entity Type | Organization |
| Organization Name | DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS FAMILY MEDICINE |
| Other Organization Name | PENN HIGHLANDS DUBOIS |
| Practice Address |
1100 Million Dollar Hwy Saint Marys PA 15857-2728 |
| Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8147816758 |
| Mailing Telephone | 8143754200 |
| Mailing Fax Number | 8143754232 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2016-02-25 |
| Authorized Official Name | BRIAN KLINE (VP & CFO) |
| Authorized Official Telephone | 8143756377 |
| Is Organization Subpart | Y |
| Parent Organization Name | PENN HIGHLANDS HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100774088 | 05 |
| Other Name | Type Code |
|---|---|
| Penn Highlands DuBois | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841675469 | Dubois Regional Medical Center - Penn Highlands Family Medicine | Internal Medicine | 145 Hospital Ave, Suite 205, Du Bois, PA 15801-1462 | 2015-07-24 |
| 1275918997 | Dubois Regional Medical Center - Penn Highlands Family Medicine | Family Medicine | 757 Johnsonburg Rd, Suite 110, Saint Marys, PA 15857-3488 | 2015-07-23 |
| 1124403035 | Dubois Regional Medical Center - Penn Highlands Family Medicine | Physician Assistant | 761 Johnsonburg Rd, Suite 240, Saint Marys, PA 15857-3483 | 2015-07-22 |
| 1659756468 | Dubois Regional Medical Center - Penn Highlands Family Medicine | Physician Assistant | 111 Cobb St, Johnsonburg, PA 15845-1209 | 2015-07-22 |
| Street Address |
1100 MILLION DOLLAR HWY |
| City | SAINT MARYS |
| State | PA |
| Zip Code | 15857-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881653053 | Ryan J Minnich | Family Medicine | 1100 Million Dollar Hwy, Saint Marys, PA 15857-2728 | 2006-03-17 |
| 1902395643 | Kristen Schmader | Nurse Practitioner | 1100 Million Dollar Hwy, Saint Marys, PA 15857-2728 | 2018-05-08 |
| 1083121776 | Sheryl Maria Savita De Sa | Family Medicine | 1100 Million Dollar Hwy, Saint Marys, PA 15857-2728 | 2018-01-04 |
| 1174999445 | Drmc - Penn Highlands Dubois Saint Marys Community Medical Bldg | Internal Medicine | 1100 Million Dollar Hwy, Saint Marys, PA 15857-2728 | 2015-08-20 |
| 1053724294 | Dubois Regional Medical Center | Psychiatry & Neurology | 1100 Million Dollar Hwy, Saint Marys, PA 15857-2728 | 2014-06-05 |
| 1982805396 | Julia V Garcia | Emergency Medicine | 1100 Million Dollar Hwy, Saint Marys, PA 15857-2728 | 2007-05-31 |
| 1174559439 | Peter William Coffman | Psychiatry & Neurology | 1100 Million Dollar Hwy, Saint Marys, PA 15857-2728 | 2006-06-25 |
| 1093756207 | Thomas Murray Baker | Family Medicine | 1100 Million Dollar Hwy, Saint Marys, PA 15857-2728 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255813945 | Emily Gregory | Occupational Therapist | Elk Haven, 785 Johnsonburg Road, Saint Marys, PA 15857 | 2018-08-30 |
| 1902324395 | Kylee Jo Proudfit | Specialist/Technologist | 575 Charles Street, Saint Marys, PA 15857 | 2017-09-06 |
| 1760829212 | Joshua Aaron Kuleck | Social Worker | 801 South Michael St., Cen Clear Child Services, Saint Marys, PA 15857 | 2013-05-23 |
| 1326215146 | St Marys Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 21 S Saint Marys St, Saint Marys, PA 15857 | 2008-05-12 |
| 1801075924 | James L Hackett Jr. | Internal Medicine | 1114 Windfall Road, St Marys, PA 15857 | 2007-10-25 |
| 1427261098 | Mary Kay O'conor | Radiologic Technologist | 346 Church St, St Marys, PA 15857 | 2007-05-08 |
| 1538205976 | Kelley A Mohney | Occupational Therapy Assistant | 211 Eckert Rd., St. Marys, PA 15857 | 2007-01-30 |
| 1851443824 | Joseph Jude Hawkins | Dentist | 1141 South Michael Road, St Marys, PA 15857 | 2007-01-18 |
| 1124190731 | Charles Richard Haskell Sr. | Dentist | 106 Wehler Road, Saint Marys, PA 15857 | 2006-11-15 |
| 1235229170 | Sharon Zaffarese-dippold | Social Worker | 145 Lafayette St Apt 1, Saint Marys, PA 15857 | 2006-10-13 |
| Find all providers in zip 15857 | ||||
| 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 |
|---|---|---|---|---|
| 1689855660 | Baptist Primary Care Inc | Family Medicine | 2060 Dan Proctor Dr Ste 3100, Saint Marys, GA 31558-4324 | 2007-11-19 |
| 1649465667 | Continium Care Solutions Inc | Family Medicine | 944 Kingsbay Rd Ste A, Suite 117, Saint Marys, GA 31558-3755 | 2007-09-12 |
| 1982816047 | Longevity Care Services Inc | Family Medicine | 4445 Ga Highway 40 E, Suite 503, Saint Marys, GA 31558-4099 | 2007-05-03 |
| 1477698611 | Lacanilao Medical Management PC | Family Medicine | 340 Charlie Smith Sr Hwy, Saint Marys, GA 31558-3101 | 2007-02-21 |
| 1245389568 | Cornerstone Health Care Inc. | Family Medicine | 201 Lafayette St, Saint Marys, WV 26170-1027 | 2007-01-09 |
| 1053401133 | Dennis W Rhoades | Family Medicine | 757 Johnsonburg Rd, Ground Floor Rehab Building, Saint Marys, PA 15857-3488 | 2006-10-13 |
| 1023113693 | Padmaja Chalasani | Family Medicine | 1300 Greenville Rd, Saint Marys, OH 45885-2600 | 2006-09-14 |
| 1114980547 | Dawn P Mcnaughton | Family Medicine | 1040 Hager St, Saint Marys, OH 45885-2421 | 2006-04-07 |
| 1881653053 | Ryan J Minnich | Family Medicine | 1100 Million Dollar Hwy, Saint Marys, PA 15857-2728 | 2006-03-17 |
| 1982684411 | David B Jones | Family Medicine | 515 W Bertrand Ave, Saint Marys, KS 66536-1618 | 2006-01-19 |
| Find all providers in SAINT MARYS | ||||
| City | SAINT MARYS |
| Zip Code | 15857 |
Please comment or provide details below to improve the information on DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS FAMILY MEDICINE.
| 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.