DUBOIS REGIONAL MEDICAL GROUP, PC (NPI# 1285728915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285728915 |
| Entity Type | Organization |
| Organization Name | DUBOIS REGIONAL MEDICAL GROUP, PC |
| Other Organization Name | DRMG MULTI-SPECIALTY PRACTICE |
| Practice Address |
529 Sunflower Dr Du Bois PA 15801-2378 |
| Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8143756560 |
| Practice Fax Number | 8143722848 |
| Mailing Telephone | 8143756566 |
| Mailing Fax Number | 8143722848 |
| Enumeration Date | 2006-10-03 |
| 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 | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
PA | Allopathic & Osteopathic Physicians | |
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | PA | Allopathic & Osteopathic Physicians | |
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | 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 | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MEDICARE | 063246 | 01 |
| PA | 100751931 | 05 |
| Other Name | Type Code |
|---|---|
| DRMG Multi-Specialty Practice | Other Name - Individual/Organization |
| 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 |
| 1093956617 | Dubois Regional Medical Group, PC | Nurse Practitioner | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2009-03-11 |
| 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 |
| 1609960251 | Dubois Regional Medical Group, PC | Physician Assistant | 2834 Maplevale Rd, Brookville, PA 15825-2318 | 2006-10-03 |
| Street Address |
529 SUNFLOWER DR |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-2378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336129220 | Desiree M. Webb | Pediatrics | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2006-01-18 |
| 1720646649 | Dubois Regional Medical Center | Optometrist | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2019-06-05 |
| 1679139091 | Jessica Gruver | Optometrist | 529 Sunflower Dr, 2nd Floor, Du Bois, PA 15801-2378 | 2019-05-10 |
| 1245747120 | Kristie Lynn Kline | Nurse Practitioner | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2018-01-02 |
| 1184167090 | Lori Schaffer | Nurse Practitioner | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2016-11-25 |
| 1053714642 | Ashley Nicole Bertram | Physician Assistant | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2014-09-26 |
| 1952686784 | Nicole Marie Grunthaner | Physician Assistant | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2011-10-12 |
| 1356676233 | Emily Rae Bish | Physician Assistant | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2009-10-09 |
| 1427282706 | Michael D. Kacsmar | Nurse Practitioner | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2009-05-14 |
| 1508017286 | Dubois Regional Medical Center | Optometrist | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2008-10-01 |
| 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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| 1164077970 | Jc Blair Medical Services Inc. | Clinic/Center | 1225 Warm Springs Ave Fl 3, Huntingdon, PA 16652-2350 | 2019-08-08 |
| 1902451016 | Jc Blair Medical Services Inc. | Clinic/Center | 820 Bryan St Ste 3, Huntingdon, PA 16652-2409 | 2019-08-06 |
| 1629638481 | Crossover Health Medical Group | Clinic/Center | 1701 John F Kennedy Blvd Fl 25, Philadelphia, PA 19103-2851 | 2019-06-14 |
| 1720641491 | Mtc Wellness, LLC | Clinic/Center | 280 Ripka St, Philadelphia, PA 19127-1125 | 2019-04-18 |
| 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.