DLP CONEMAUGH MINERS MEDICAL CENTER LLC (NPI# 1629471768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629471768 |
| Entity Type | Organization |
| Organization Name | DLP CONEMAUGH MINERS MEDICAL CENTER LLC |
| Other Organization Name | MINERS HOSPITAL EMERGENCY PHYSICIAN GROUP |
| Practice Address |
290 Haida Ave Hastings PA 16646-5610 |
| Practice Telephone | 8142693100 |
| Mailing Telephone | 8142693100 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-24 |
| Authorized Official Name | JEFFREY SERAPHINE (PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MINERS HOSPITAL EMERGENCY PHYSICIAN GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184620486 | Dlp Conemaugh Miners Medical Center LLC | General Acute Care Hospital | 290 Haida Avenue, Hastings, PA 16646-0689 | 2005-06-22 |
| 1598829210 | Dlp Conemaugh Miners Medical Center LLC | Clinic/Center | 290 Haida Avenue, Hastings, PA 16646 | 2006-12-20 |
| 1679637482 | Dlp Conemaugh Miners Medical Center LLC | Medicare Defined Swing Bed Unit | 290 Haida Avenue, Hastings, PA 16646 | 2006-12-19 |
| Street Address |
290 HAIDA AVE |
| City | HASTINGS |
| State | PA |
| Zip Code | 16646-5610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669440517 | David G Hershberger | Emergency Medicine | 290 Haida Ave, Miners Hospital Emergency Physicians Group, Hastings, PA 16646 | 2006-03-08 |
| 1316479488 | Philip Siva Vittozzi Wong | Emergency Medicine | 290 Haida Ave, Hastings, PA 16646-5610 | 2017-03-29 |
| 1811398076 | Dlp Conemaugh Miner's Medical Center LLC | Internal Medicine | 290 Haida Ave, Hastings, PA 16646-5610 | 2014-09-08 |
| 1750403358 | Miners Hospital | Emergency Medicine | 290 Haida Ave, Hastings, PA 16646 | 2007-04-04 |
| 1154366128 | Keystone Rehabilitation Systems Inc | Clinic/Center | 290 Haida Ave, Hastings, PA 16646-0168 | 2006-06-16 |
| 1770540270 | Alan Stankiewicz | Radiology | 290 Haida Ave, Hastings, PA 16646-5610 | 2006-04-27 |
| 1639135262 | Miners Hospital | Emergency Medicine | 290 Haida Ave, Hastings, PA 16646 | 2006-04-22 |
| 1134198377 | Samuel E Long | Emergency Medicine | 290 Haida Ave, Miners Hospital Emergency Physicians Group, Hastings, PA 16646 | 2006-03-17 |
| 1033187992 | Thomas A Owens | Emergency Medicine | 290 Haida Ave, Miners Hospital Emergency Physicians Group, Hastings, PA 16646 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366602112 | John Crawford IIi Do | Clinical Medical Laboratory | 170 Fourth Ave, Hastings, PA 16646 | 2008-06-16 |
| 1790994911 | Glicerio V Ignacio Jr. | Family Medicine | 187 Laurel Drive, Hastings, PA 16646 | 2007-05-22 |
| 1174607311 | Joseph Rezk | Durable Medical Equipment & Medical Supplies | 264 Haida Avenue, Suite 2a, Hastings, PA 16646 | 2006-10-24 |
| 1922112457 | Dr Jan Brown Inc | Dentist | 129 Laurel Dr, Hastings, PA 16646 | 2006-08-19 |
| 1902846405 | Matthew John Dvorchak | Family Medicine | 268 Coleman St., Hastings, PA 16646 | 2006-06-07 |
| 1184600355 | Hastings Area Ambulance Association | Ambulance | 222 Fourth Ave., Hastings, PA 16646 | 2005-12-20 |
| 1114929601 | Dennis J Fowler | Pharmacist | 317 Beaver Street, Hastings, PA 16646 | 2005-08-15 |
| 1508869082 | John Crawford IIi | Family Medicine | 170 Fourth Avenue, Hastings, PA 16646 | 2005-05-27 |
| 1720206345 | Dialysis Clinic Inc. | Clinic/Center | 264 Haida Avenue, Suite D, Hastings, PA 16646 | 2007-04-20 |
| 1598829210 | Dlp Conemaugh Miners Medical Center LLC | Clinic/Center | 290 Haida Avenue, Hastings, PA 16646 | 2006-12-20 |
| Find all providers in zip 16646 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083930507 | The Mary Lanning Memorial Hospital Association | Emergency Medicine | 715 North St. Joseph Avenue, Hastings, NE 68901-4497 | 2010-04-08 |
| 1669440517 | David G Hershberger | Emergency Medicine | 290 Haida Ave, Miners Hospital Emergency Physicians Group, Hastings, PA 16646 | 2006-03-08 |
| 1164495669 | Marlis Lange | Emergency Medicine | 1998 Star School Rd, Hastings, MI 49058-8784 | 2006-02-07 |
| 1326039157 | Thomas Raymond Mcniff | Emergency Medicine | 11860 Lockridge Ave S, Hastings, MN 55033-8406 | 2005-11-01 |
| 1013438944 | Jennifer Ann Mervau | Emergency Medicine | 1009 W Green St, Hastings, MI 49058-1710 | 2017-06-30 |
| 1316479488 | Philip Siva Vittozzi Wong | Emergency Medicine | 290 Haida Ave, Hastings, PA 16646-5610 | 2017-03-29 |
| 1013456474 | Kenneth Shum | Emergency Medicine | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2017-02-18 |
| 1508276742 | Joshua Ryan Sloan | Emergency Medicine | 715 N Saint Joseph Ave, Hastings, NE 68901-4451 | 2014-04-28 |
| 1720222805 | Christopher (chris) Paul Lindgren | Emergency Medicine | 715 N Saint Joseph Ave, Mary Lanning Healthcare, Hastings, NE 68901-4451 | 2009-04-21 |
| 1841488178 | Pennock Hospital Board of Trustees | Emergency Medicine | 1009 W Green Street, Hastings, MI 49058-1710 | 2007-10-11 |
| Find all providers in HASTINGS | ||||
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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.