ELK REGIONAL PROFESSIONAL GROUP, INC. (NPI# 1205823424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205823424 |
| Entity Type | Organization |
| Organization Name | ELK REGIONAL PROFESSIONAL GROUP, INC. |
| Other Organization Name | ERPG SPECIALTY SERVICES |
| Practice Address |
761 Johnsonburg Rd Erpg Specialty Services Saint Marys PA 15857-3483 |
| Mailing Address |
763 Johnsonburg Rd Erpg Specialty Services St Marys PA 15857-3417 |
| Practice Telephone | 8147888615 |
| Practice Fax Number | 8147888092 |
| Mailing Telephone | 8147888615 |
| Mailing Fax Number | 8147888092 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2007-08-21 |
| Authorized Official Name | MRS. RITA V OLSZEWSKI (VICE PRESIDENT, ERPG) |
| Authorized Official Telephone | 8147888832 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018592850020 | 05 |
| Other Name | Type Code |
|---|---|
| ERPG Specialty Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386848760 | Elk Regional Professional Group, Inc. | Clinical Medical Laboratory | 121 E Arch St, Saint Marys, PA 15857-1769 | 2007-06-12 |
| 1831393214 | Elk Regional Professional Group, Inc. | Clinical Medical Laboratory | 514 Market St, Johnsonburg, PA 15845-1240 | 2007-06-12 |
| 1093918518 | Elk Regional Professional Group, Inc. | Clinical Medical Laboratory | 176 Skyline Drive, Dagus Mines, PA 15831 | 2007-06-11 |
| 1508069022 | Elk Regional Professional Group, Inc. | Clinical Medical Laboratory | 1095 Million Dollar Highway, Kersey, PA 15846 | 2007-06-11 |
| 1881897304 | Elk Regional Professional Group, Inc. | Clinical Medical Laboratory | 18457 Bennett's Valley Highway, Weedville, PA 15868 | 2007-06-11 |
| 1982668885 | Elk Regional Professional Group, Inc. | Anesthesiology | 104 Metoxet Street, Ridgway, PA 15853 | 2006-04-17 |
| 1821079450 | Elk Regional Professional Group, Inc. | Nurse Anesthetist, Certified Registered | Erpg Crna Services, 763 Johnsonburg Road, St. Marys, PA 15857 | 2005-11-10 |
| 1790772184 | Elk Regional Professional Group, Inc. | Internal Medicine | 275 E 4th St, Emporium, PA 15834-1411 | 2005-09-30 |
| 1568666949 | Elk Regional Professional Group, Inc. | Clinical Medical Laboratory | 123 South St, Ridgway, PA 15853-2008 | 2007-06-12 |
| 1477757854 | Elk Regional Professional Group, Inc. | Clinical Medical Laboratory | 275 E 4th St, Emporium, PA 15834-1411 | 2007-06-12 |
| Street Address |
761 JOHNSONBURG RD ERPG SPECIALTY SERVICES |
| City | SAINT MARYS |
| State | PA |
| Zip Code | 15857-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858277 | Anne M Breindel | Physician Assistant | 761 Johnsonburg Rd, Suite 240, Saint Marys, PA 15857-3483 | 2005-08-11 |
| 1922648724 | Erin Mary Mcmahon | Nurse Practitioner | 761 Johnsonburg Rd, Saint Marys, PA 15857-3483 | 2020-01-09 |
| 1043794456 | Kristina Marie Torretti | Physician Assistant | 761 Johnsonburg Rd, Saint Marys, PA 15857-3483 | 2018-09-20 |
| 1437693868 | Nicole Lynn Villella | Nurse Practitioner | 761 Johnsonburg Rd, Saint Marys, PA 15857-3483 | 2016-12-04 |
| 1700239068 | Sarah Means | Physician Assistant | 761 Johnsonburg Rd, Suite 210, Saint Marys, PA 15857-3483 | 2016-07-21 |
| 1871960047 | Dubois Regional Medical Center - Penn Highlands Pediatrics St Marys | Pediatrics | 761 Johnsonburg Rd, Saint Marys, PA 15857-3483 | 2015-08-24 |
| 1043687213 | Dubois Regional Med Center - Penn Highlands Family Med St Marys 94150 | Family Medicine | 761 Johnsonburg Rd, Suite 220, Saint Marys, PA 15857-3483 | 2015-08-24 |
| 1831574375 | Dubois Regional Medical Center - Penn Highlands Medical Arts Bldg Elk | Orthopaedic Surgery | 761 Johnsonburg Rd, Saint Marys, PA 15857-3483 | 2015-07-27 |
| 1124403035 | Dubois Regional Medical Center - Penn Highlands Family Medicine | Physician Assistant | 761 Johnsonburg Rd, Suite 240, Saint Marys, PA 15857-3483 | 2015-07-22 |
| 1366822546 | Erin E Williams | Physician Assistant | 761 Johnsonburg Rd, Saint Marys, PA 15857-3483 | 2015-06-03 |
| Find all providers in the same location | ||||
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912344185 | Muhammad Habib Zubair | Surgery | 761 Johnsonburg Rd Ste 130, Saint Marys, PA 15857-3480 | 2013-05-29 |
| 1316174873 | Benjamin A Bograd | Surgery | 2040 Dan Proctor Dr Ste 240, Saint Marys, GA 31558-3801 | 2009-06-11 |
| 1215152368 | Wayne R. Hudson, Do, Inc | Surgery | 1134 Hager St, Saint Marys, OH 45885-2423 | 2007-04-16 |
| 1821007949 | Kenneth Lance Bryant | Surgery | 1300 Greenville Rd Ste B, Saint Marys, OH 45885 | 2006-08-07 |
| 1306832639 | Carlos A Levy-eliceiri | Surgery | 100 Lakeshore Dr, Suite B, Saint Marys, GA 31558-3800 | 2005-09-22 |
| 1760703540 | Carlos A. Levy, Md, Pa | Surgery | 100 Lakeshore Dr, Saint Marys, GA 31558-3857 | 2010-06-16 |
| 1801039441 | Makkalon Em | Surgery | 761 Johnsonburg Rd, Suite 130, Saint Marys, PA 15857-3483 | 2009-04-13 |
| 1497991137 | C A Levy Surgical Inc | Surgery | 100 Lakeshore Dr, Ste B, Saint Marys, GA 31558-3857 | 2008-12-31 |
| 1639335581 | Sean Patrick Whelan | Surgery | 761 Johnsonburg Rd, Suite #130, Saint Marys, PA 15857-3483 | 2008-07-31 |
| 1164431227 | St. Marys Surgical Associates, Inc. | Surgery | 1165 S Knoxville Ave, Saint Marys, OH 45885-2622 | 2006-08-07 |
| Find all providers in SAINT MARYS | ||||
| City | SAINT MARYS |
| Zip Code | 15857 |
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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.