HERITAGE VALLEY MEDICAL GROUP, INC. (NPI# 1801048400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801048400 |
| Entity Type | Organization |
| Organization Name | HERITAGE VALLEY MEDICAL GROUP, INC. |
| Other Organization Name | HVMG CARDIOTHORACIC & VASCULAR SURGERY |
| Practice Address |
1000 Dutch Ridge Road Heritage Valley Beaver Beaver PA 15009 |
| Practice Telephone | 7247738289 |
| Mailing Telephone | 7247738289 |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2012-06-29 |
| Authorized Official Name | NORMAN MITRY (PRESIDENT & CEO) |
| Authorized Official Telephone | 7247734776 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015654460023 | 05 | |
| OH | 0202677 | 05 |
| Other Name | Type Code |
|---|---|
| HVMG Cardiothoracic & Vascular Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417518036 | Heritage Valley Medical Group, Inc. | Family Medicine | 100 Foster Ave Ste B, Pittsburgh, PA 15205-2317 | 2019-06-25 |
| 1154980878 | Heritage Valley Medical Group, Inc. | Internal Medicine | 27 Heckel Rd Ste 207, Mc Kees Rocks, PA 15136-1673 | 2019-06-06 |
| 1225696016 | Heritage Valley Medical Group, Inc. | Family Medicine | 27 Heckel Rd Ste 210, Mc Kees Rocks, PA 15136-1673 | 2019-06-05 |
| 1619532629 | Heritage Valley Medical Group, Inc. | Family Medicine | 1030 3rd Avenue, New Brighton, PA 15066 | 2019-05-06 |
| 1992957591 | Heritage Valley Medical Group, Inc. | Family Medicine | 1254 Rt 30, Hillendale Health Center, Clinton, PA 15026 | 2008-10-15 |
| 1356593933 | Heritage Valley Medical Group, Inc. | Surgery | 111 Hazel Lane, Suite 100, Edgeworth Square, Sewickely, PA 15143 | 2008-10-15 |
| 1073765806 | Heritage Valley Medical Group, Inc. | Family Medicine | 3 Robinson Plz Ste 210a, Rt 60 & Park Manor, Pittsburgh, PA 15205-1018 | 2008-10-10 |
| 1003477720 | Heritage Valley Medical Group, Inc. | Family Medicine | 596 Pine Hollow Rd, Mc Kees Rocks, PA 15136-1661 | 2019-06-24 |
| 1407415987 | Heritage Valley Medical Group, Inc. | Podiatrist | 79 Wagner Road, Suite 103, Monaca, PA 15061-2338 | 2019-06-10 |
| 1134787013 | Heritage Valley Medical Group, Inc. | Family Medicine | 27 Heckel Rd Ste 205, Mc Kees Rocks, PA 15136-1673 | 2019-06-05 |
| Street Address |
1000 DUTCH RIDGE ROAD HERITAGE VALLEY BEAVER |
| City | BEAVER |
| State | PA |
| Zip Code | 15009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023083110 | Mary Ellen Sichak | Nurse Anesthetist, Certified Registered | 1000 Dutch Ridge Road, Beaver, PA 15009 | 2006-02-22 |
| 1568556058 | Philip A Baker | Nurse Anesthetist, Certified Registered | 1000 Dutch Ridge Road, Beaver, PA 15009 | 2006-10-02 |
| 1841382645 | Pamela D Phillips | Pharmacist | 1000 Dutch Ridge Road, Heritage Valley Health System, Beaver, PA 15009 | 2006-09-29 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225280829 | Heritage Valley Medical Group, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 605 Sharon Rd, Beaver, PA 15009-1919 | 2008-10-15 |
| 1902822752 | Alexander Vasilakis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639707847 | West Virginia Univesity Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1163 Country Club Rd Ste 106, Monongahela, PA 15063-1013 | 2020-04-01 |
| 1861959884 | Pedro Augusto Reck Dos Santos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Lothrop St # C900, Pittsburgh, PA 15213-2536 | 2019-02-26 |
| 1023582418 | Luciana Da Fonseca Da Silva | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4401 Penn Ave Fl 5, Pittsburgh, PA 15224-1334 | 2019-01-18 |
| 1962980730 | Wellspan Medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 40 V Twin Dr Ste 102, Gettysburg, PA 17325-7878 | 2018-08-02 |
| 1295110427 | Chananya Karunasumetta | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4101 Penn Avenue, 5th Fl. Faculty Pavilion, Pittsburgh, PA 15224 | 2015-07-29 |
| 1528443041 | Michael Ibrahim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3701 Chestnut St Apt 410, Philadelphia, PA 19104-3104 | 2015-07-27 |
| 1710386420 | Ferdinand Christian | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1224 Turnbury Ln, North Wales, PA 19454-3657 | 2014-08-19 |
| 1245668128 | Jacob Kolff | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1125 Bryn Llawn Road, Villanova, PA 19085 | 2013-10-31 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| 1215279112 | Jeffrey M Dunn | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 W. Washington Sq, #1207, Philadelphia, PA 19106 | 2013-03-19 |
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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.