HERITAGE VALLEY MEDICAL GROUP, INC. (NPI# 1407415987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407415987 |
| Entity Type | Organization |
| Organization Name | HERITAGE VALLEY MEDICAL GROUP, INC. |
| Practice Address |
79 Wagner Road Suite 103 Monaca PA 15061-2338 |
| Mailing Address |
1000 Dutch Ridge Rd Beaver PA 15009-9727 |
| Practice Telephone | 8784393598 |
| Practice Fax Number | 8784393599 |
| Mailing Telephone | 7247734776 |
| Mailing Fax Number | 7247734726 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |
| Authorized Official Name | BRYAN J RANDALL (VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 4127497027 |
| Is Organization Subpart | Y |
| Parent Organization Name | HERITAGE VALLEYMEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 00156544 | 05 |
| Other Name | Type Code |
|---|---|
| HVMG Foot and Ankle | 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 |
| 1134787013 | Heritage Valley Medical Group, Inc. | Family Medicine | 27 Heckel Rd Ste 205, Mc Kees Rocks, PA 15136-1673 | 2019-06-05 |
| 1396216727 | Heritage Valley Medical Group, Inc. | Surgery | 274 3rd St, Beaver, PA 15009-2333 | 2018-12-11 |
| Street Address |
79 WAGNER ROAD SUITE 103 |
| City | MONACA |
| State | PA |
| Zip Code | 15061-2338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124498910 | Ashley Lynn Bell | Physician Assistant | 3944 Brodhead Road, Suite 7b, Monaca, PA 15061 | 2015-10-06 |
| 1902193105 | Robert Martin Niedermeyer Jr. | Pharmacist | 87 Wagner Road, Monaca, PA 15061 | 2011-07-08 |
| 1033416979 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 118 Wagner Rd, Monaca, PA 15061 | 2011-02-11 |
| 1326275595 | Tri-state Medical Group, Inc. | Internal Medicine | Route 18 Wal-mart Shopping Plaza, Heritage Valley Convenient Care-monaca, Monaca, PA 15061 | 2009-06-16 |
| 1053560888 | Beth Ann Klump | Physician Assistant | 3572 Brodhead Rd., Suite 301, Monaca, PA 15061 | 2008-09-17 |
| 1376687954 | Luke E Stall | Radiology | 3582 Brodhead Rd Ste 204, Monaca, PA 15061 | 2007-02-16 |
| 1063595684 | Wal-mart Stores East, Lp | Technician/Technologist | Pa. Rt.18/wal-mart Plaza Shpg., Monaca, PA 15061 | 2006-10-24 |
| 1366533945 | Regine Lydie Bataille-gossard | Optometrist | Walmart Vision Center, Walmart Plaza Route 18, Monaca, PA 15061 | 2006-09-27 |
| 1346341708 | Richa Bajaj | Dentist | 125 Wagner Rd, Monaca, PA 15061 | 2006-09-26 |
| 1538265319 | David Walter Jaskiewicz | Optometrist | Route 18, Walmart Plaza, Monaga, PA 15061 | 2006-09-16 |
| Find all providers in zip 15061 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477553774 | Dr. Harry B. Burke and Associates, PC | Podiatrist | 3578 Brodhead Rd, Monaca, PA 15061-3143 | 2005-07-28 |
| 1346240496 | Renae Lynn Daniels-simmons | Podiatrist | 3578 Brodhead Rd, Monaca, PA 15061-3143 | 2005-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656208 | Delaney Wickramage | Podiatrist | 111 N 9th St Unit 203, Philadelphia, PA 19107-2449 | 2020-07-16 |
| 1841819463 | Michael A Savisky | Podiatrist | West Penn Hospital, 4800 Friendship Avenue/foot and Ankle Institute, Pittsburgh, PA 15224-1793 | 2020-04-14 |
| 1114551140 | Gretchen M Perschke | Podiatrist | 104 Technology Dr Ste 103, Butler, PA 16001-1801 | 2020-02-28 |
| 1912537960 | Brian J Morris | Podiatrist | 103 Tamara Dr, Old Forge, PA 18518-2342 | 2020-01-17 |
| 1205477973 | New Step Podiatry Associates, LLC | Podiatrist | 2076 Huber Dr, Quakertown, PA 18951-3888 | 2019-10-03 |
| 1336780345 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 4033 Linglestown Rd Ste 1, Harrisburg, PA 17112-1153 | 2019-10-01 |
| 1417598426 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 2025 Technology Pkwy Ste 201, Mechanicsburg, PA 17050-9401 | 2019-10-01 |
| 1891345104 | Bay City Associates In Podiatry Inc | Podiatrist | 105 Mead Ave Ste A, Meadville, PA 16335-3531 | 2019-09-18 |
| 1093367203 | Gary A. Raymond Dpm PC | Podiatrist | 195 Memorial Dr Ste 6, Everett, PA 15537-7056 | 2019-07-09 |
| 1992357115 | Gary A. Raymond, Dpm, PC | Podiatrist | 1225 Warm Springs Avenue, 3rd Floor, Huntingdon, PA 16652-7146 | 2019-07-09 |
| 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.