HERITAGE VALLEY MEDICAL GROUP, INC. (NPI# 1487806063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487806063 |
| Entity Type | Organization |
| Organization Name | HERITAGE VALLEY MEDICAL GROUP, INC. |
| Other Organization Name | HVMG GASTROENTEROLOGY |
| Practice Address |
993 Brodhead Rd Moon Township PA 15108-2331 |
| Practice Telephone | 4122641918 |
| Practice Fax Number | 4122649114 |
| Mailing Telephone | 4122641918 |
| Mailing Fax Number | 4122649114 |
| 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 | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0014950830029 | 05 | |
| OH | 2297465 | 05 |
| Other Name | Type Code |
|---|---|
| HVMG Gastroenterology | 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 |
993 BRODHEAD RD |
| City | MOON TOWNSHIP |
| State | PA |
| Zip Code | 15108-2331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487047486 | Abbey Cotton | Occupational Therapist | 993 Brodhead Rd, Suite 203, Moon Township, PA 15108-2331 | 2015-03-15 |
| 1205236221 | Shelly Brands | Speech-Language Pathologist | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2014-08-27 |
| 1740417500 | Stephen H Beckjord | Counselor | 993 Brodhead Rd, Suite 202, Moon Township, PA 15108-2331 | 2009-06-18 |
| 1124270707 | Heritage Valley Medical Group, Inc | Family Medicine | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2008-10-15 |
| 1477705051 | Heritage Valley Medical Group, Inc. | Internal Medicine | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2008-10-15 |
| 1689844607 | Vanilakshmi Mithipati | Family Medicine | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2008-03-05 |
| 1982620720 | Joseph P Klutz | Family Medicine | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2006-07-14 |
| 1013933837 | Nancy H Park | Family Medicine | 993 Brodhead Rd, Moon Township, PA 15108-2331 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550082 | Erin Larue | Counselor | 1010 Brodhead Rd., 2nd Floor, Moon Township, PA 15108 | 2020-05-27 |
| 1457986721 | Favored Wellness Counseling and Consulting, LLC | Counselor | 1010 Broadhead Road, 2nd Floor, Moon Township, PA 15108 | 2020-03-07 |
| 1023597937 | Jessica Marie Neff | Pharmacist | 217 Beagle Drive, Moon Township, PA 15108 | 2018-08-10 |
| 1992281125 | Aurora Recovery Services, LLC | Family Medicine | 993 Brodhead Rd Ste 201, Moon Twp, PA 15108 | 2018-07-11 |
| 1134611916 | Michaela Marie Stubna | Occupational Therapy Assistant | 54 Long Valley, Coraopolis, PA 15108 | 2018-06-06 |
| 1063924520 | Tammy Lynne Rink | Counselor | 1555 Brodhead Rd, Moon Township, PA 15108 | 2017-10-24 |
| 1194243584 | Anthony Joseph Decarlo | Specialist/Technologist | 48 Laurel Ridge Rd, Coraopolis, PA 15108 | 2017-09-06 |
| 1114479102 | Daniel R Fuller Jr. | Pharmacist | 7500 Univsersity Blvd., Moon Township, PA 15108 | 2016-10-26 |
| 1043768823 | Kelsey Kelleher | Physical Therapist | 100 Corporate Center Dr Ste 115, Coraopolis, PA 15108 | 2016-09-21 |
| 1518325208 | Elizabeth Thomeier Dornetto | Counselor | 993 Brodhead Rd Ste 203, Coraopolis, PA 15108 | 2016-02-09 |
| Find all providers in zip 15108 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356507297 | Nicholas Adam Mahoney | Internal Medicine | 725 Cherrington Pkwy Ste 100, Moon Township, PA 15108 | 2008-07-30 |
| 1801891593 | James A Pilla | Internal Medicine | 725 Cherrington Pkwy, Suite 100, Moon Township, PA 15108-4318 | 2005-06-17 |
| 1194864504 | Center for Digestive Health and Nutrition | Internal Medicine | 725 Cherrington Parkway, Suite 100, Moon Township, PA 15108-4305 | 2007-02-05 |
| 1932181260 | Richard Kim | Internal Medicine | 725 Cherrington Pkwy, Suite 100, Moon Township, PA 15108-4318 | 2005-11-14 |
| 1184606410 | Lester Stine | Internal Medicine | 725 Cherrington Pkwy, Suite 100, Moon Township, PA 15108-4318 | 2005-11-14 |
| 1881676138 | Robert D Fusco | Internal Medicine | 725 Cherrington Pkwy, Suite 100, Moon Township, PA 15108-4318 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871060707 | Gastrointestinal Wellness Clinic LLC | Internal Medicine | 301 Oxford Valley Rd # Units804, Yardley, PA 19067-7706 | 2018-10-29 |
| 1003394545 | Lyanne Marie Caraballo | Internal Medicine | 1000 Integrity Dr Ste 110, Pittsburgh, PA 15235-3332 | 2018-08-06 |
| 1073047205 | Margaret Spinosa | Internal Medicine | 1627 Chew St Ste 101, Allentown, PA 18102-3648 | 2017-04-14 |
| 1881131472 | Paul Frey Spears | Internal Medicine | 490 Shady Dell Rd, York, PA 17403-4483 | 2017-01-20 |
| 1801258686 | Wai Kan Chiu | Internal Medicine | 200 Lothrop Street, Mezzanine Level, C-wing, Puh, Pittsburgh, PA 15213 | 2016-03-22 |
| 1598189631 | Richard B. Lynn | Internal Medicine | 204 Rhyle Ln, Bala Cynwyd, PA 19004-2324 | 2014-02-10 |
| 1427390822 | Meeta Desai | Internal Medicine | Gastroenterology & Hepatology, M.c. Hu33, 500 University Drive, Hershey, PA 17033-0850 | 2013-03-23 |
| 1225372519 | Scott Howell Wright | Internal Medicine | 1118 Riverview Ln, Conshohocken, PA 19428-2964 | 2012-11-27 |
| 1952665481 | Excela Health Physician Practices, Inc. | Internal Medicine | 530 South St Ste G, Greensburg, PA 15601-2775 | 2012-06-29 |
| 1033479704 | William Blake Huntington | Internal Medicine | 1088 W Baltimore Pike Ste 2407, Media, PA 19063 | 2012-05-29 |
| Find all providers with the same taxonomy | ||||
| City | MOON TOWNSHIP |
| Zip Code | 15108 |
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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.