DUBOIS REGIONAL MEDICAL GROUP, PC (NPI# 1609960251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609960251 |
| Entity Type | Organization |
| Organization Name | DUBOIS REGIONAL MEDICAL GROUP, PC |
| Practice Address |
2834 Maplevale Rd Brookville PA 15825-2318 |
| Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8148493014 |
| Practice Fax Number | 8148493710 |
| Mailing Telephone | 8143756560 |
| Mailing Fax Number | 8143722848 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-03-23 |
| Authorized Official Name | MR. JOHN S SUTIKA (PRESIDENT) |
| Authorized Official Telephone | 8143753385 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | PENN HIGHLANDS HDUBOIS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK ASSIGNMENT ACCOUNT | 002018650 | 01 |
| PA | 1007519310008 | 05 | |
| PA | 1007519310003 | 05 |
| 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 |
| 1285728915 | Dubois Regional Medical Group, PC | Family Medicine | 529 Sunflower Dr, Du Bois, PA 15801-2378 | 2006-10-03 |
| Street Address |
2834 MAPLEVALE RD |
| City | BROOKVILLE |
| State | PA |
| Zip Code | 15825-2318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639156680 | Jivanlal M. Patel, M.d., Inc | Internal Medicine | 2834 Maplevale Rd, Brookville, PA 15825-2318 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902265424 | Tara Rickard | Counselor | 16 Richards St, Brookville, PA 15825 | 2016-02-11 |
| 1124432554 | Stephen Sheer | Specialist/Technologist | 117b Valley St, Brookville, PA 15825 | 2014-06-13 |
| 1962814830 | Wendy Reynolds | Registered Nurse | 218 Jefferson Street, Brookville, PA 15825 | 2014-05-28 |
| 1023311461 | Shana Stevens | Nurse Anesthetist, Certified Registered | Brookville Hospital, Brookville, PA 15825 | 2010-12-07 |
| 1659538668 | Amanda M Chamberlin | Family Medicine | 477 Rt 28, Brookville, PA 15825 | 2008-05-19 |
| 1609088111 | Roberta Justine Ganoe | Occupational Therapist | 1334 Mays Road, Brookville, PA 15825 | 2007-05-04 |
| 1538387634 | Hallie Smith Carlton | Counselor | 115 Mabon Street, Brookville, PA 15825 | 2007-04-23 |
| 1841348927 | Sarah M Kirk | Specialist/Technologist | 96 Jenks St., Brookville, PA 15825 | 2007-01-08 |
| 1396783783 | Denny Tang | Surgery | 240 Allegheny Blvd Ste F, Brookville, PA 15825 | 2006-06-04 |
| 1932169828 | Susan Ann Connor | Family Medicine | 240 Allegheny Blvd., Ste. F, Brookville, PA 15825 | 2006-03-24 |
| Find all providers in zip 15825 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013003524 | Oxford Pediatrics & Adolescents Inc | Pediatrics | 10058 Cooley Rd, Brookville, IN 47012 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321622 | St Luke's Physician Group Inc | Pediatrics | 514 Delaware Ave, Fountain Hill, PA 18015-1104 | 2020-09-18 |
| 1972138204 | Margarita Bello | Pediatrics | 448 Walton Ave Unit 217, Hummelstown, PA 17036-4010 | 2020-03-06 |
| 1548809494 | Childen's Community Care | Pediatrics | 1811 Boulevard of The Allies Ste 200, Pittsburgh, PA 15219-5964 | 2019-12-24 |
| 1164069241 | Ayala Laufer-cahana | Pediatrics | 647 Montgomery School Ln, Wynnewood, PA 19096-1013 | 2019-12-08 |
| 1023652708 | Pediatric Care Group, P.C. | Pediatrics | 890 2nd Street Pike Ste 904, Richboro, PA 18954-1021 | 2019-11-05 |
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1679115760 | Rural Health Corporation of Northeastern Pennsylvania | Pediatrics | 1730 E Broad St Ste 2, Hazleton, PA 18201-5657 | 2019-10-10 |
| 1003462797 | Lucyndia Rose Marino | Pediatrics | 130 Classic Ln, New Castle, PA 16105-5304 | 2019-08-18 |
| 1861048803 | Geisinger Clinic | Pediatrics | 55 Medical Drive, Lewisburg, PA 17837-6343 | 2019-08-15 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
| City | BROOKVILLE |
| Zip Code | 15825 |
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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.