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HERITAGE VALLEY MEDICAL GROUP INC. NPI 1225506439


NPI Information

NPI: 1225506439
Provider Name: HERITAGE VALLEY MEDICAL GROUP, INC.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 39D0863710

Address:
1030 BEANER HOLLOW RD
BEAVER, PA
ZIP 15009
Phone: (724) 775-4242
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HERITAGE VALLEY MEDICAL GROUP, INC. is an orthopaedic surgery in Beaver, PA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. HERITAGE VALLEY MEDICAL GROUP, INC. NPI is 1225506439. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1030 BEANER HOLLOW RD
BEAVER, PA
ZIP 15009-723
Phone: (724) 775-4242
Fax: (724) 775-4960

The provider's authorized official is Norman F Mitry .
The authorized official title is President & Ceo and has the following contact phone number (724) 773-4776.

The CLIA number assigned to this NPI record is 39D0863710 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2018 and was last updated on 11/6/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
2213ES0103XPodiatristFoot & Ankle SurgeryNo
3207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10015654460023MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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