CENTERVILLE CLINICS, INC. (NPI# 1639150105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639150105 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS, INC. |
| Practice Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Practice Telephone | 7246326801 |
| Practice Fax Number | 7246326312 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326312 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2010-06-14 |
| Authorized Official Name | MRS. PATRICIA MARTOS (DIRECTOR, FINANCE/PERSONNEL) |
| Authorized Official Telephone | 7246326801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007288440027 | 05 | |
| PA | HGSA - MEDICARE | 031216 | 01 |
| PA | HIGHMARK | 031216 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| 1932450509 | Centerville Clinics, Inc. | Specialist | 3214 Constitution Blvd, Claysville, PA 15323-1333 | 2012-09-24 |
| 1164600995 | Centerville Clinics, Inc. | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2008-02-04 |
| 1154508620 | Centerville Clinics, Inc. | Community/Behavioral Health | 201 Alwine Ave, Greensburg, PA 15601-3211 | 2008-01-28 |
| 1073734281 | Centerville Clinics, Inc. | Clinic/Center | 200 Chamber Plz, Charleroi, PA 15022-1605 | 2007-05-02 |
| 1043430267 | Centerville Clinics, Inc. | Clinic/Center | 1006 Main Street, Republic, PA 15475 | 2007-04-27 |
| 1124191671 | Centerville Clinics, Inc. | Clinic/Center | 130 California Rd, Brownsville, PA 15417-9312 | 2006-11-15 |
| 1932181047 | Centerville Clinics, Inc. | Dental Assistant | 1006 Main Street, Republic, PA 15475 | 2005-11-15 |
| 1275514531 | Centerville Clinics, Inc. | Internal Medicine | 1150 7th St, Waynesburg, PA 15370-1660 | 2005-11-14 |
| Street Address |
1070 OLD NATIONAL PIKE |
| City | FREDERICKTOWN |
| State | PA |
| Zip Code | 15333-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009198 | Yong Dae Cho | Family Medicine | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2005-10-28 |
| 1689286999 | Christina Lombard | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2020-08-18 |
| 1699301721 | Janet Lynn Geramita | Dental Hygienist | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2020-03-20 |
| 1912543422 | Daniel Ryan Hinderliter | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-11-19 |
| 1073163689 | Maryann Fee | Counselor | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-09-16 |
| 1790247732 | Cassie Davis | Counselor | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-04-01 |
| 1891251625 | Amber Marie Prebeg | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-02-17 |
| 1538637517 | Amy Florence | Social Worker | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-11-07 |
| 1003397365 | Alexandria Marie Bakos | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-08-24 |
| 1417434358 | Gary Butler II | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760968853 | Centerville Clinics Inc | Social Worker | Beth Center Middle School, 136 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| 1871079962 | Centerville Clinics Inc | Social Worker | Beth Center Elementary School, 194 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| 1235181124 | James William Davis IIi | Dentist | 1070 Old National Pike Road, Fredericktown, PA 15333 | 2006-05-17 |
| 1336126937 | Marsha Lawrence | Eyewear Supplier (Equipment, not the service) | 525 Front St, Fredericktown, PA 15333 | 2005-12-27 |
| 1881878361 | Marsha Lee Lawrence | Eyewear Supplier (Equipment, not the service) | 525 Front St, Fredericktown, PA 15333 | 2007-12-20 |
| 1164600995 | Centerville Clinics, Inc. | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2008-02-04 |
| 1720339393 | Centervillle Clinics, Inc | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2012-09-24 |
| 1073656559 | Bethlehem-center School District | Local Education Agency (LEA) | 194 Crawford Rd, Fredericktown, PA 15333-2012 | 2007-02-15 |
| 1699249508 | Scott Robert Hargraves | Physical Therapist | 205 Ridgewood Dr, Fredericktown, PA 15333-2020 | 2019-01-14 |
| 1902861925 | Michelle Renee Stepp | Chiropractor | 3317 Route 40, Fredericktown, PA 15333-2111 | 2006-04-20 |
| Find all providers in zip 15333 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497362453 | Highlands Hospital and Health Center | Obstetrics & Gynecology | 700 Park St Ste 6, Connellsville, PA 15425-2744 | 2020-09-24 |
| 1861050577 | Natural Women's Health | Obstetrics & Gynecology | 1650 Huntingdon Pike Ste 112, Meadowbrook, PA 19046-8005 | 2019-05-29 |
| 1205491149 | Trexler Park Gynecology | Obstetrics & Gynecology | 3131 College Heights Blvd Ste 2200b, Allentown, PA 18104-4812 | 2019-05-07 |
| 1013486448 | Katharine Theresa Ressler | Obstetrics & Gynecology | 580 S Aiken Ave Ste 500, Pittsburgh, PA 15232-1534 | 2018-11-14 |
| 1881184760 | Planned Parenthood Keystone | Obstetrics & Gynecology | 5920 Hamilton Blvd Ste 201, Allentown, PA 18106 | 2018-05-16 |
| 1881052561 | Surgeons On Demand, LLC | Obstetrics & Gynecology | 130 Log and Twig Rd, Dingmans Ferry, PA 18328-9110 | 2016-02-09 |
| 1316340052 | William Steinbrink | Obstetrics & Gynecology | 4235 Stone Creek Dr, Erie, PA 16506-7009 | 2014-10-08 |
| 1326473463 | James Lee Houston | Obstetrics & Gynecology | 425 Glenview Dr, Lower Burrell, PA 15068-3020 | 2013-09-09 |
| 1295178820 | Charles E Kovar | Obstetrics & Gynecology | 4861 Sydney Close, Macungie, PA 18062-9516 | 2013-04-13 |
| 1538401260 | Toya Gordon | Obstetrics & Gynecology | 301 S 7th Ave Ste 1020, West Reading, PA 19611-1473 | 2013-03-20 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKTOWN |
| Zip Code | 15333 |
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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.