HERITAGE VALLEY MEDICAL GROUP, INC. (NPI# 1316199912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316199912 |
| Entity Type | Organization |
| Organization Name | HERITAGE VALLEY MEDICAL GROUP, INC. |
| Other Organization Name | HVMG TRI-STATE SURGICAL ASSOCIATES |
| Practice Address |
93 Boundry Ln Beaver PA 15009-2949 |
| Practice Telephone | 7247288300 |
| Mailing Telephone | 7247288300 |
| 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 | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0202677 | 05 | |
| PA | 0015654460023 | 05 |
| Other Name | Type Code |
|---|---|
| HVMG Tri-State Surgical Associates | 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 |
93 BOUNDRY LN |
| City | BEAVER |
| State | PA |
| Zip Code | 15009-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306832498 | Kyung K Incorvati | Surgery | 93 Boundry Ln, Beaver, PA 15009-2949 | 2005-09-23 |
| 1225470594 | Wade D Berger | Surgery | 93 Boundry Ln, Beaver, PA 15009-2949 | 2013-07-26 |
| 1295082725 | Michael P O'brien | Nurse Practitioner | 93 Boundry Ln, Beaver, PA 15009-2949 | 2012-08-15 |
| 1265682512 | Eric Boyle | Surgery | 93 Boundry Ln, Beaver, PA 15009-2949 | 2008-09-23 |
| 1386658201 | Sheri Morris | Specialist | 93 Boundry Ln, Beaver, PA 15009-2949 | 2006-07-28 |
| 1538195557 | Allan Segal | Surgery | 93 Boundry Ln, Beaver, PA 15009-2949 | 2006-06-23 |
| 1427084482 | Stephen C Belich | Surgery | 93 Boundry Ln, Beaver, PA 15009-2949 | 2006-06-23 |
| 1427090208 | Tristate Surgical Associates | Surgery | 93 Boundry Ln, Beaver, PA 15009-2949 | 2006-06-13 |
| 1114913233 | Paul A Pupi | Surgery | 93 Boundry Ln, Beaver, PA 15009-2949 | 2005-09-23 |
| 1588650550 | Marshall L Burke | Surgery | 93 Boundry Ln, Beaver, PA 15009-2949 | 2005-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734494 | Renee Thomas | Registered Nurse | 659 3rd Street, Upper Suite, Beaver, PA 15009 | 2019-01-14 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 1861845208 | Gary Koch | Psychologist | 500 Market St Ste 204b, Beaver, PA 15009 | 2016-07-21 |
| 1326367616 | Merakey Pennsylvania | Community/Behavioral Health | 148 Theodore Drive, Chippewa, PA 15009 | 2010-05-26 |
| 1912237215 | Sandra L. Mckeel | Counselor | 697 State Street, Vanport, PA 15009 | 2010-01-08 |
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1700040730 | Marie R Brauch | Counselor | 697 State St, #5, Beaver, PA 15009 | 2008-07-18 |
| 1932376696 | Justin Dosch | Emergency Medicine | 1000 Dutch Run Rd, Beaver, PA 15009 | 2008-05-13 |
| 1023280492 | Paul Michael Kuzma Jr Md | Ophthalmology | 628 Market Street, Bridgewater, PA 15009 | 2008-03-26 |
| 1881877868 | Jaime Michelle Kinkead | Social Worker | 160 Third Street, Beaver, PA 15009 | 2007-12-12 |
| Find all providers in zip 15009 | ||||
| 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 |
|---|---|---|---|---|
| 1336127414 | Edward Gerald Chekan | Surgery | 78 Tuscarawas Rd, Beaver, PA 15009-1721 | 2006-01-09 |
| 1972599082 | Robert M Meuser | Surgery | 274 3rd St, Beaver, PA 15009-2333 | 2005-09-23 |
| 1306832498 | Kyung K Incorvati | Surgery | 93 Boundry Ln, Beaver, PA 15009-2949 | 2005-09-23 |
| 1548265648 | Timothy N Kavic | Surgery | 500 Market St Ste 101, Beaver, PA 15009-2998 | 2005-06-15 |
| 1225470594 | Wade D Berger | Surgery | 93 Boundry Ln, Beaver, PA 15009-2949 | 2013-07-26 |
| 1033415732 | Edward Robert Villella II | Surgery | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2011-01-28 |
| 1265682512 | Eric Boyle | Surgery | 93 Boundry Ln, Beaver, PA 15009-2949 | 2008-09-23 |
| 1154502318 | Rajdeep Sandhu | Surgery | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2007-11-16 |
| 1699858910 | R. Bradley Hayward | Surgery | 274 3rd St, Beaver, PA 15009-2333 | 2006-10-23 |
| 1538195557 | Allan Segal | Surgery | 93 Boundry Ln, Beaver, PA 15009-2949 | 2006-06-23 |
| Find all providers in BEAVER | ||||
Please comment or provide details below to improve the information on HERITAGE VALLEY MEDICAL GROUP, INC..
| 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.