GROVE CITY MEDICAL CENTER (NPI# 1609390483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609390483 |
| Entity Type | Organization |
| Organization Name | GROVE CITY MEDICAL CENTER |
| Other Organization Name | GCMC PAIN CLINIC |
| Practice Address |
631 N Broad Street Ext Grove City PA 16127-4603 |
| Mailing Address |
631 N. Broad Street Ext. Grove City PA 16127-4603 |
| Practice Telephone | 7244507000 |
| Practice Fax Number | 7244507013 |
| Mailing Telephone | 7244507000 |
| Mailing Fax Number | 7244507013 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | MR. ROBERT C JACKSON JR. (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7244507197 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
OS005324L | PA | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
OS005324L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0010895580018 | 05 | |
| ISSUER | 401500 | 01 |
| Other Name | Type Code |
|---|---|
| GCMC Pain Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730171331 | Grove City Medical Center | Clinic/Center | 208 Butler St, Clintonville, PA 16372 | 2005-08-19 |
| 1023000296 | Grove City Medical Center | General Acute Care Hospital | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2005-08-16 |
| 1144867573 | Grove City Medical Center | General Acute Care Hospital | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2019-12-04 |
| 1679123350 | Grove City Medical Center | Surgery | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2019-09-16 |
| 1427379551 | Grove City Medical Center | General Acute Care Hospital | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2010-06-11 |
| 1831254788 | Grove City Medical Center | Clinic/Center | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2006-12-22 |
| 1013017763 | Grove City Medical Center | Pathology | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2006-09-23 |
| 1194823864 | Grove City Medical Center | Emergency Medicine | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2006-09-20 |
| 1255371597 | Grove City Medical Center | Internal Medicine | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2006-06-07 |
| 1679565147 | Grove City Medical Center | Skilled Nursing Facility | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2005-08-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GROVE CITY MEDICAL CENTER | 631 N Broad Street Ext, Grove City, PA 16127-4603 |
| Street Address |
631 N BROAD STREET EXT |
| City | GROVE CITY |
| State | PA |
| Zip Code | 16127-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000296 | Grove City Medical Center | General Acute Care Hospital | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2005-08-16 |
| 1760081194 | Sarah Elizabeth Kauffman | Pharmacist | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2020-10-17 |
| 1679102289 | Daniel Jacob Rodgers | Physician Assistant | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2020-04-06 |
| 1629604541 | Nicolena Verardi | Physician Assistant | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2020-03-23 |
| 1144867573 | Grove City Medical Center | General Acute Care Hospital | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2019-12-04 |
| 1598308157 | Maria Monica Kalymon | Physician Assistant | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2019-10-25 |
| 1679123350 | Grove City Medical Center | Surgery | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2019-09-16 |
| 1083102750 | Pinnacle Health Services LLC | Clinic/Center | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2018-04-27 |
| 1205336351 | Jamie Duncan | Physician Assistant | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2018-02-15 |
| 1871008714 | Sandra Phipps | Physical Therapist | 631 N Broad Street Ext, Grove City, PA 16127-4603 | 2017-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907079 | Elaine Black Timko | Counselor | 113d North Broad Street, Grove City, PA 16127 | 2020-03-17 |
| 1457898082 | Jeffrey Ewell Scott | Speech-Language Pathologist | 435 Broad Street, Grove City, PA 16127 | 2017-01-20 |
| 1053651745 | Delta Foot and Ankle Center, LLC | Podiatrist | 247 N Broad Street Ext, Suite 204, Grove City, PA 16127 | 2013-02-18 |
| 1770786451 | Angela Dee Wells | Speech-Language Pathologist | 120 South Broad Street, Suite A, Grove City, PA 16127 | 2007-06-08 |
| 1780705202 | Cynthia Ann Ellermeyer | Speech-Language Pathologist | Grove City Medical Center, 631 North Broad St Ext, Grove City, PA 16127 | 2007-04-02 |
| 1083738884 | George Junior Republic In Pennsylvania | Community Based Residential Treatment Facility, Mental Illness | 233 George Junior Road, Grove City, PA 16127 | 2007-03-19 |
| 1932264058 | Alotad, Inc. | Durable Medical Equipment & Medical Supplies | 49 Pine Grove Pl., Grove City, PA 16127 | 2006-12-27 |
| 1396818233 | Thomas William Lah | Dentist | 1235 South Center S. Ext, Suite 935, Grove City, PA 16127 | 2006-11-16 |
| 1275619777 | Donald Harold Wykoff | Psychologist | 1049 Slippery Rock Rd, Grove City, PA 16127 | 2006-10-27 |
| 1336235100 | James W Eaton II | Dentist | 407 N Broad St, Grove City, PA 16127 | 2006-10-05 |
| Find all providers in zip 16127 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487643599 | Olakunle O Taiwo | Anesthesiology | 118 S Center St, Grove City, PA 16127-1507 | 2005-10-20 |
| 1841442258 | Pain Care Specialists, LLC | Anesthesiology | 6024 Hoover Rd, Suite A, Grove City, OH 43123-8133 | 2008-10-16 |
| 1699764712 | Prime Anesthesia Consultants Inc. | Anesthesiology | 118 S Center St, Grove City, PA 16127-1507 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629630504 | Bac Medical, Pllc | Anesthesiology | 3070 Bristol Pike # 2-130, Bensalem, PA 19020-5364 | 2019-07-01 |
| 1285294983 | Thomas Falasca | Anesthesiology | 411 Sybil Dr, Erie, PA 16505-2152 | 2019-06-17 |
| 1144711235 | Amy L. Croushore | Anesthesiology | 5750 Centre Ave Ste 400, Pittsburgh, PA 15206-3761 | 2018-05-23 |
| 1023521598 | Michaela R Lewis | Anesthesiology | 333 State St Ste 104, Erie, PA 16507-1463 | 2017-11-07 |
| 1457704652 | Guthrie Medical Group, P.C. | Anesthesiology | 37 Pratt Avenue, Towanda, PA 18848 | 2016-07-22 |
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1457786253 | Lighthouse Medical, LLC | Anesthesiology | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2013-09-11 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1528407392 | Soon Yong Jung | Anesthesiology | 1240 S Cedar Crest Blvd Ste 307, Allentown, PA 18103-6263 | 2013-06-14 |
| 1316381155 | Beacon Medical, LLC | Anesthesiology | 136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650 | 2013-04-23 |
| Find all providers with the same taxonomy | ||||
| City | GROVE CITY |
| Zip Code | 16127 |
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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.