DUBOIS REGIONAL MEDICAL CENTER (NPI# 1881614204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881614204 |
| Entity Type | Organization |
| Organization Name | DUBOIS REGIONAL MEDICAL CENTER |
| Other Organization Name | PENN HIGHLANDS FAMILY MEDICINE - KAKABADZE |
| Practice Address |
5 N 3rd St Reynoldsville PA 15851-1231 |
| Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8146538222 |
| Practice Fax Number | 8146539305 |
| Mailing Telephone | 8146538222 |
| Mailing Fax Number | 8146539305 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-02-17 |
| Authorized Official Name | MR. BRIAN S KLINE (VP & CFO) |
| Authorized Official Telephone | 8143756377 |
| Is Organization Subpart | Y |
| Parent Organization Name | PENN HIGHLANDS HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 135501 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE CROSS/BLUE SHIELD | 1728632 | 01 |
| PA | 1007740880083 | 05 |
| Other Name | Type Code |
|---|---|
| Penn Highlands Family Medicine - Kakabadze | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1952917981 | Dubois Regional Medical Center | Occupational Therapy Assistant | 21886 Route 119, Punxsutawney, PA 15767-7921 | 2020-09-16 |
| 1053930362 | Dubois Regional Medical Center | Internal Medicine | 88 Hospital Rd, Brookville, PA 15825-1368 | 2020-04-16 |
| 1609432749 | Dubois Regional Medical Center | Family Medicine | 820 Bryan St Ste 1, Huntingdon, PA 16652-2409 | 2019-05-14 |
| 1992298160 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 315, Du Bois, PA 15801 | 2018-06-12 |
| 1053562207 | Dubois Regional Medical Center | Family Medicine | 145 Hospital Ave Ste 205, Du Bois, PA 15801-1464 | 2008-10-07 |
| 1255426151 | Dubois Regional Medical Center | Internal Medicine | 210 Loch Lomond Rd, Philipsburg, PA 16866-1930 | 2006-10-04 |
| 1033213608 | Dubois Regional Medical Center | Obstetrics & Gynecology | 869 Beaver Dr, Du Bois, PA 15801-2511 | 2006-09-12 |
| 1184728727 | Dubois Regional Medical Center | Neurological Surgery | 145 Hospital Ave Ste 106, Du Bois, PA 15801-1463 | 2006-09-12 |
| 1780791418 | Dubois Regional Medical Center | Internal Medicine | 230 Hemlock Avenue, Force, PA 15841 | 2006-08-25 |
| Street Address |
5 N 3RD ST |
| City | REYNOLDSVILLE |
| State | PA |
| Zip Code | 15851-1231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962465427 | Shalva V Kakabadze | Family Medicine | 5 N 3rd St, Reynoldsville, PA 15851-0907 | 2006-04-07 |
| 1982799656 | Sharon Gilmore | Nurse Practitioner | 5 N 3rd St, Reynoldsville, PA 15851-0907 | 2006-10-04 |
| 1720095045 | Alyssa Hannah | Physician Assistant | 5 N 3rd St, Reynoldsville, PA 15851-0907 | 2006-08-01 |
| 1417979253 | Dubois Regional Medical Center | Family Medicine | 5 N 3rd St, Suite 1, Reynoldsville, PA 15851-1231 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659342293 | Samuel L Earley | Dentist | 522 E Main Street, Reynoldsville, PA 15851 | 2006-01-31 |
| 1962554410 | Barry Alexander Marks | Pharmacist | 419 Main St, Reynoldsville, PA 15851 | 2007-01-17 |
| 1427455914 | Jefferson County Area Agency On Aging | Case Management | 186 Main St, Brookville, PA 15851-0806 | 2014-11-26 |
| 1396117370 | Merrilee Anto | Occupational Therapy Assistant | 115 Brown St, Reynoldsville, PA 15851-1015 | 2015-10-29 |
| 1508852088 | Randy William Mccall | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2005-09-21 |
| 1891324596 | Tyler William Dombrowski | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2020-04-04 |
| 1639648116 | Corey A Bookhamer | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2018-11-14 |
| 1891104196 | Reynoldsville Chiropractic Life Center, LLC | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2014-08-12 |
| 1194132373 | Tara Brooke Centra | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2014-07-19 |
| 1588071765 | Nicholas Angelo Centra | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2014-07-19 |
| Find all providers in zip 15851 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124042270 | Jennifer Wineberg Zeitler | Family Medicine | 522 E Main St, Reynoldsville, PA 15851-1328 | 2006-07-26 |
| 1962465427 | Shalva V Kakabadze | Family Medicine | 5 N 3rd St, Reynoldsville, PA 15851-0907 | 2006-04-07 |
| 1194299248 | Jennifer Wineberg Zeitler | Family Medicine | 522 E Main St, Reynoldsville, PA 15851-1328 | 2019-01-11 |
| 1417979253 | Dubois Regional Medical Center | Family Medicine | 5 N 3rd St, Suite 1, Reynoldsville, PA 15851-1231 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | REYNOLDSVILLE |
| Zip Code | 15851 |
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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.