ASSOCIATION OF SPECIALTY PHYSICIANS, INC. (NPI# 1407219173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407219173 |
| Entity Type | Organization |
| Organization Name | ASSOCIATION OF SPECIALTY PHYSICIANS, INC. |
| Practice Address |
274 3rd St Beaver PA 15009-2333 |
| Practice Telephone | 7247752112 |
| Practice Fax Number | 7247752131 |
| Mailing Telephone | 7247752112 |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-08-02 |
| Authorized Official Name | DR. SAMUEL DALE YAKIS (PRESIDENT) |
| Authorized Official Telephone | 7247754242 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001581047 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265727655 | Association of Specialty Physicians, Inc. | Orthopaedic Surgery | 48462 Bell School Rd, East Liverpool, OH 43920-9625 | 2011-06-14 |
| 1609161090 | Association of Specialty Physicians, Inc. | Surgery | 1677 Route 65, Ellwood City, PA 16117-5217 | 2011-06-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | ASSOCIATION OF SPECIALTY PHYSICIANS, INC. | 1030 Beaner Hollow Rd, Beaver, PA 15009 |
| Street Address |
274 3RD ST |
| City | BEAVER |
| State | PA |
| Zip Code | 15009-2333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972599082 | Robert M Meuser | Surgery | 274 3rd St, Beaver, PA 15009-2333 | 2005-09-23 |
| 1396216727 | Heritage Valley Medical Group, Inc. | Surgery | 274 3rd St, Beaver, PA 15009-2333 | 2018-12-11 |
| 1386907103 | Natalie Brahm | Physician Assistant | 274 3rd St, Beaver, PA 15009-2333 | 2012-06-18 |
| 1710206107 | Colleen Gilliland | Nurse Practitioner | 274 3rd St, Suite 100, Beaver, PA 15009-2333 | 2010-05-25 |
| 1366779985 | Marie T Winter | Nurse Practitioner | 274 3rd St, Suite A, Beaver, PA 15009-2333 | 2009-11-04 |
| 1497999114 | Marla J Slayton | Nurse Practitioner | 274 3rd St, Beaver, PA 15009-2333 | 2009-04-24 |
| 1508001538 | Tri-state Medical Group, Inc | Family Medicine | 274 3rd St, Suite 100, Beaver, PA 15009-2333 | 2008-12-04 |
| 1699858910 | R. Bradley Hayward | Surgery | 274 3rd St, Beaver, PA 15009-2333 | 2006-10-23 |
| 1003873241 | Jane Gagne | Family Medicine | 274 3rd St, Suite 100, Beaver, PA 15009-2333 | 2006-05-01 |
| 1699738435 | Annmarie Ray | Internal Medicine | 274 3rd St, Suite 3, Beaver, PA 15009-2333 | 2006-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734494 | Renee Thomas | Registered Nurse | 659 3rd Street, Upper Suite, Beaver, PA 15009 | 2019-01-14 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 1861845208 | Gary Koch | Psychologist | 500 Market St Ste 204b, Beaver, PA 15009 | 2016-07-21 |
| 1326367616 | Merakey Pennsylvania | Community/Behavioral Health | 148 Theodore Drive, Chippewa, PA 15009 | 2010-05-26 |
| 1912237215 | Sandra L. Mckeel | Counselor | 697 State Street, Vanport, PA 15009 | 2010-01-08 |
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1700040730 | Marie R Brauch | Counselor | 697 State St, #5, Beaver, PA 15009 | 2008-07-18 |
| 1932376696 | Justin Dosch | Emergency Medicine | 1000 Dutch Run Rd, Beaver, PA 15009 | 2008-05-13 |
| 1023280492 | Paul Michael Kuzma Jr Md | Ophthalmology | 628 Market Street, Bridgewater, PA 15009 | 2008-03-26 |
| 1881877868 | Jaime Michelle Kinkead | Social Worker | 160 Third Street, Beaver, PA 15009 | 2007-12-12 |
| Find all providers in zip 15009 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396216727 | Heritage Valley Medical Group, Inc. | Surgery | 274 3rd St, Beaver, PA 15009-2333 | 2018-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
| 1932610755 | Vascular Surgical Specialists Pllc | Surgery | 1450 E Boot Rd Ste 600b, West Chester, PA 19380-5968 | 2017-10-19 |
| 1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
| 1437525490 | Advanced Vein and Laser Center Lancaster, LLC | Surgery | 896a Plaza Blvd, Lancaster, PA 17601-2745 | 2015-08-13 |
| 1447658877 | Center for Vein Restoration Pa Pllc | Surgery | 1338 Bristol Pike Ste 205, Bensalem, PA 19020-5679 | 2014-12-17 |
| 1023423167 | Catherine Go | Surgery | 420 S Aiken Ave, Apt A6, Pittsburgh, PA 15232-1226 | 2014-06-27 |
| 1659703635 | Walter J. Fagan | Surgery | 211 Center Ave, Jim Thorpe, PA 18229-1205 | 2013-08-01 |
| 1346521267 | Usa Vein Clinics of Philadelphia LLC | Surgery | 51 Cameron Rd, Huntingdon Valley, PA 19006-1401 | 2011-09-06 |
| 1124314893 | Nathan Loren Liang | Surgery | 200 Lothrop St # A-1017, Pittsburgh, PA 15213-2536 | 2011-06-21 |
| Find all providers with the same taxonomy | ||||
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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.