DUBOIS REGIONAL MEDICAL CENTER


Address: 100 Hospital Ave, Du Bois, PA 15801
Phone: 8143712200

DUBOIS REGIONAL MEDICAL CENTER (NPI# 1285821835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285821835
Entity Type Organization
Organization Name DUBOIS REGIONAL MEDICAL CENTER
Other Organization Name PENN HIGHLANDS DUBOIS HOSPITALISTS
Practice Address 100 Hospital Ave
Du Bois
PA 15801
Mailing Address 100 Hospital Ave
Du Bois
PA 15801-1440
Practice Telephone 8143712200
Mailing Telephone 8143754200
Mailing Fax Number 8143754232
Enumeration Date 2007-09-27
Last Update Date 2020-10-26
Authorized Official Name BRIAN S KLINE (VP, CFO, AUTHORIZED OFFICIAL)
Authorized Official Telephone 8143756377
Is Organization Subpart Y
Parent Organization Name PENN HIGHLANDS HEALTHCARE

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine PA Allopathic & Osteopathic Physicians
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
Allopathic & Osteopathic Physicians
N 207RI0200X Internal Medicine
Specialization: Infectious Disease
PA Allopathic & Osteopathic Physicians
N 207RN0300X Internal Medicine
Specialization: Nephrology
PA Allopathic & Osteopathic Physicians
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
Allopathic & Osteopathic Physicians
N 208100000X Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
PA Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 207R00000X Internal Medicine PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 1007740880070 05

Other Provider/Organization Names

Other Name Type Code
Penn Highlands DuBois Hospitalists Other Name - Individual/Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
763 Johnsonburg Rd, Saint Marys, PA 158573417 8147888000 8147888098

Other Provider IDs and Locations

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

Office Location

Street Address 100 HOSPITAL AVE
City DU BOIS
State PA
Zip Code 15801

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184627580 Dennis E Kirst Nurse Anesthetist, Certified Registered 100 Hospital Ave, Penn Highlands Dubois Crna's, Du Bois, PA 15801-1440 2005-05-31
1922607431 Holly Marie Bianchino Physician Assistant 100 Hospital Ave, Du Bois, PA 15801-1440 2020-10-26
1932710704 Kylee Breanne Leckey Physician Assistant 100 Hospital Ave, Du Bois, PA 15801-1440 2020-08-13
1821615790 Whitney Claire Haley Registered Nurse 100 Hospital Ave, Du Bois, PA 15801-1440 2020-06-26
1255955209 Jessica Lynn Neill Physician Assistant 100 Hospital Ave, Du Bois, PA 15801-1440 2020-06-05
1871117382 Gregory Vincent Gigliotti Registered Nurse 100 Hospital Ave, Du Bois, PA 15801-1440 2020-06-01
1235759796 Madalyn Hoke Physician Assistant 100 Hospital Ave, Du Bois, PA 15801-1440 2020-04-24
1033748249 Rhonda K Mcconnell Registered Nurse 100 Hospital Ave, Du Bois, PA 15801-1440 2020-04-08
1073142972 Alexander Westcott Student in an Organized Health Care Education/Training Program 100 Hospital Ave, Du Bois, PA 15801-1440 2020-04-03
1942833538 Kimberly Erin Miller Physician Assistant 100 Hospital Ave, Du Bois, PA 15801-1440 2020-02-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215551452 Grace Polohonki Counselor 490 Jefers Street, Dubois, PA 15801 2020-06-03
1144869231 Richard Lee Kerstetter II Hearing Instrument Specialist 124 San Juan Rd, Du Bois, PA 15801 2020-01-06
1700368487 Holly Noel Knoll Counselor 490 Jeffers Street, Dubois, PA 15801 2018-08-30
1992298160 Dubois Regional Medical Center Family Medicine 145 Hospital Ave Ste 315, Du Bois, PA 15801 2018-06-12
1154814846 Sara Beth Stone Dietitian, Registered 16288 Treasure Lk, Du Bois, PA 15801 2018-06-07
1942790779 Wendi Dawn Wenzel Counselor 490 Jeffers St., Dubois, PA 15801 2018-05-17
1144748443 Nancy Foradora Massage Therapist 200 Narrows Creek Park Road, Dubois, PA 15801 2017-09-07
1679098891 Deborah Jean Mitchell Hearing Instrument Specialist 900 Beaver Drive, Dubois, PA 15801 2017-08-09
1861937757 Shaun M Kanouff Counselor 100 Caldwell Dr., Dubois, PA 15801 2016-12-30
1164897740 Drayer Physical Therapy Institute LLC Physical Therapist 873 Beaver Drive, Dubois, PA 15801 2015-12-08
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548360928 Paul B Roemer Internal Medicine 211 Beaver Dr, Du Bois, PA 15801-2517 2006-09-25
1730101916 Guy Harold Gerhart Internal Medicine 635a Maple Ave, Du Bois, PA 15801-2377 2006-07-24
1538105002 Fugate Medical Associates, Inc. Internal Medicine 633 Maple Ave, Du Bois, PA 15801-2383 2006-06-21
1508858168 Dubois Internal Medicine Associates, Inc. Internal Medicine 145 Hospital Avenue, Suite 205, Du Bois, PA 15801-1464 2005-08-19
1841675469 Dubois Regional Medical Center - Penn Highlands Family Medicine Internal Medicine 145 Hospital Ave, Suite 205, Du Bois, PA 15801-1462 2015-07-24
1932464039 Dubois Regional Medical Center Internal Medicine 100 Hospital Ave, Du Bois, PA 15801-1440 2012-07-05
1487937199 Dubois Regional Medical Center Internal Medicine 635 Maple Ave, Du Bois, PA 15801-2376 2011-09-20
1184911380 Riza Mina Jose Internal Medicine 100 Hospital Ave, Du Bois, PA 15801-1440 2011-07-08
1528363108 Suzanne Marie Iorfido Internal Medicine 100 Hospital Ave, Du Bois, PA 15801-1440 2011-01-13
1902109762 Kavita Goyal Internal Medicine 145 Hospital Ave, Suite 204, Du Bois, PA 15801-1462 2010-12-15
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City DU BOIS
Zip Code 15801

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Dataset Information

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.

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