HERITAGE VALLEY MEDICAL GROUP, INC. (NPI# 1245482843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245482843 |
| Entity Type | Organization |
| Organization Name | HERITAGE VALLEY MEDICAL GROUP, INC. |
| Other Organization Name | HVMG JAMES K. TATUM, M.D. |
| Practice Address |
2299 Brodhead Rd Aliquippa PA 15001-4674 |
| Practice Telephone | 7243788484 |
| Mailing Telephone | 7243788484 |
| 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 James K. Tatum, M.D. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417518036 | Heritage Valley Medical Group, Inc. | Family Medicine | 100 Foster Ave Ste B, Pittsburgh, PA 15205-2317 | 2019-06-25 |
| 1154980878 | Heritage Valley Medical Group, Inc. | Internal Medicine | 27 Heckel Rd Ste 207, Mc Kees Rocks, PA 15136-1673 | 2019-06-06 |
| 1225696016 | Heritage Valley Medical Group, Inc. | Family Medicine | 27 Heckel Rd Ste 210, Mc Kees Rocks, PA 15136-1673 | 2019-06-05 |
| 1619532629 | Heritage Valley Medical Group, Inc. | Family Medicine | 1030 3rd Avenue, New Brighton, PA 15066 | 2019-05-06 |
| 1992957591 | Heritage Valley Medical Group, Inc. | Family Medicine | 1254 Rt 30, Hillendale Health Center, Clinton, PA 15026 | 2008-10-15 |
| 1356593933 | Heritage Valley Medical Group, Inc. | Surgery | 111 Hazel Lane, Suite 100, Edgeworth Square, Sewickely, PA 15143 | 2008-10-15 |
| 1073765806 | Heritage Valley Medical Group, Inc. | Family Medicine | 3 Robinson Plz Ste 210a, Rt 60 & Park Manor, Pittsburgh, PA 15205-1018 | 2008-10-10 |
| 1003477720 | Heritage Valley Medical Group, Inc. | Family Medicine | 596 Pine Hollow Rd, Mc Kees Rocks, PA 15136-1661 | 2019-06-24 |
| 1407415987 | Heritage Valley Medical Group, Inc. | Podiatrist | 79 Wagner Road, Suite 103, Monaca, PA 15061-2338 | 2019-06-10 |
| 1134787013 | Heritage Valley Medical Group, Inc. | Family Medicine | 27 Heckel Rd Ste 205, Mc Kees Rocks, PA 15136-1673 | 2019-06-05 |
| Street Address |
2299 BRODHEAD RD |
| City | ALIQUIPPA |
| State | PA |
| Zip Code | 15001-4674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049254 | Chelsea Rae Plakosh | Nurse Practitioner | 2299 Brodhead Rd, Aliquippa, PA 15001-4674 | 2019-12-05 |
| 1730221557 | Tri - State Medical Group, Inc. | Non-Pharmacy Dispensing Site | 2299 Brodhead Rd, Aliquippa, PA 15001-4674 | 2007-02-12 |
| 1083647564 | James K Tatum | Family Medicine | 2299 Brodhead Rd, Aliquippa, PA 15001-4674 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508325150 | Sebreena Lynn Owens | Home Health Aide | 1705 Davidson Street, Aliquippa, PA 15001 | 2019-03-13 |
| 1215457213 | Christin Bryan | Physical Therapist | 206 Marble Street, Aliquippa, PA 15001 | 2017-06-21 |
| 1033568738 | Opioid Addiction Recovery Services | Clinic/Center | 2360 Hospital Dr Lower Level, Aliquippa, PA 15001 | 2016-06-03 |
| 1053792804 | Dana Cleary | Behavioral Analyst | 150 Pleasant Drive, Aliquippa, PA 15001 | 2015-06-17 |
| 1598188492 | Excel Pain Consultants LLC | Pain Medicine | 1 Hospital Dr Ste 103, Aliquippa, PA 15001 | 2014-01-28 |
| 1831361229 | Unis Dental Associates | Dentist | 2072 Broadhead Road, Aliquippa, PA 15001 | 2008-03-26 |
| 1649463951 | Lara Porter Trushel | Physician Assistant | 3113 Green Garden Rd, Aliquippa, PA 15001 | 2007-08-20 |
| 1134340128 | Kelly Gaguzis | Occupational Therapist | 170 Maplehurst Drive, Aliquippa, PA 15001 | 2007-05-01 |
| 1083777270 | James Vito Barbuto | Dentist | 2496 Brodhead Road, Ste D, Aliquippa, PA 15001 | 2006-12-18 |
| 1285645416 | Giant Eagle Inc | Pharmacy | Green Garden Plaza, Aliquippa, PA 15001 | 2006-08-11 |
| Find all providers in zip 15001 | ||||
| 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 |
|---|---|---|---|---|
| 1467899211 | Holly Ann Tice | Family Medicine | 1 Hospital Dr Bldg 2600, Aliquippa, PA 15001-2150 | 2013-06-03 |
| 1851643522 | Gregory Paul Mortimer | Family Medicine | 139 Clearview Rd, Aliquippa, PA 15001-5767 | 2012-10-05 |
| 1104920222 | Ganapathi Rao Moka | Family Medicine | 2450 Mill St, Aliquippa, PA 15001-2236 | 2006-09-11 |
| 1952368730 | Christopher Gehrlein | Family Medicine | 2360 Hospital Dr, Aliquippa, PA 15001-2160 | 2006-04-27 |
| 1740253962 | Rebecca A Rudd | Family Medicine | 99 Autumn St, Aliquippa, PA 15001-1301 | 2006-02-08 |
| 1952300055 | Jose K Sia | Family Medicine | 2285 Brodhead Rd, Aliquippa, PA 15001-4674 | 2005-07-20 |
| 1235587007 | Apeksha Patel | Family Medicine | 99 Buss Rd, Aliquippa, PA 15001-4749 | 2016-06-02 |
| 1619380920 | Michael Duffy | Family Medicine | 99 Autumn St, Aliquippa, PA 15001-1301 | 2014-06-04 |
| 1225280803 | Heritage Valley Medical Group, Inc | Family Medicine | 3113 Green Garden Rd, Aliquippa, PA 15001-1000 | 2008-10-15 |
| 1447410964 | Mitchell Pfeiffer | Family Medicine | 2360 Hospital Dr, Aliquippa, PA 15001-2160 | 2008-06-10 |
| Find all providers in ALIQUIPPA | ||||
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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.