ELK REGIONAL PROFESSIONAL GROUP, INC (NPI# 1801883020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801883020 |
Entity Type | Organization |
Organization Name | ELK REGIONAL PROFESSIONAL GROUP, INC |
Other Organization Name | ERPG ANCILLARY SERVICES |
Practice Address |
763 Johnsonburg Rd St Marys PA 15857-3417 |
Practice Telephone | 8147888580 |
Practice Fax Number | 8147888042 |
Mailing Telephone | 8147888580 |
Mailing Fax Number | 8147888042 |
Enumeration Date | 2005-10-03 |
Last Update Date | 2020-08-22 |
Authorized Official Name | RITA V OLSZEWSKI (VICE PRESIDENT, ERPG) |
Authorized Official Telephone | 8147888580 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251E1300X |
Physical Therapist Specialization: Electrophysiology, Clinical |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Other Name | Type Code |
---|---|
ERPG Ancillary Services | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366439580 | Elk Regional Professional Group, Inc | Nurse Practitioner | 111 Cobb St, Johnsonburg, PA 15845-1209 | 2005-10-03 |
1336136720 | Elk Regional Professional Group, Inc | Family Medicine | 136 State St, St Marys, PA 15857-1626 | 2005-09-30 |
1497124374 | Elk Regional Professional Group, Inc | Clinic/Center | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2015-09-21 |
1982073854 | Elk Regional Professional Group, Inc | Clinic/Center | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2015-09-21 |
1821085044 | Elk Regional Professional Group, Inc | Physical Therapist | 761 Johnsonburg Rd, Suite 310, St Marys, PA 15857-3483 | 2005-10-03 |
1891782025 | Elk Regional Professional Group, Inc | Pathology | 763 Johnsonburg Rd, St Marys, PA 15857-3417 | 2005-10-03 |
1184611303 | Elk Regional Professional Group, Inc | Surgery | 763 Johnsonburg Rd, Saint Marys, PA 15857-3417 | 2005-10-03 |
1700873197 | Elk Regional Professional Group, Inc | Family Medicine | 177 Washington St, St Marys, PA 15857-1349 | 2005-09-30 |
Street Address |
763 JOHNSONBURG RD |
City | ST MARYS |
State | PA |
Zip Code | 15857-3417 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356305627 | Michelle Amrick | Physician Assistant | 763 Johnsonburg Rd, St Marys, PA 15857-3417 | 2006-04-13 |
1013906643 | Starr Kearney | Emergency Medicine | 763 Johnsonburg Rd, Elk Regional Professional Group, Inc., St Marys, PA 15857-3417 | 2005-10-17 |
1396732517 | Elk Regional Professional Group, Inc. | Anesthesiology | 763 Johnsonburg Rd, Anesthesia Department, St Marys, PA 15857-3417 | 2005-10-03 |
1912994138 | Elk Regional Professional Group, Inc. | Physician Assistant | 763 Johnsonburg Rd, St Marys, PA 15857-3417 | 2005-10-03 |
1891782025 | Elk Regional Professional Group, Inc | Pathology | 763 Johnsonburg Rd, St Marys, PA 15857-3417 | 2005-10-03 |
1275535197 | Joe A Salinas | Pathology | 763 Johnsonburg Rd, Penn Highlands Pathology - Elk, St Marys, PA 15857-3417 | 2005-08-11 |
1730180951 | Conrado A Valdes | Anesthesiology | 763 Johnsonburg Rd, Erpg Anesthesia Services, St Marys, PA 15857-3417 | 2005-08-10 |
1104828110 | Elk Regional Professional Group, Inc. | Anesthesiology | 763 Johnsonburg Rd, St. Marys Finance Department, St Marys, PA 15857-3417 | 2005-08-10 |
1023014842 | Elk Regional Health Center | Psychiatric Unit | 763 Johnsonburg Rd, St Marys, PA 15857 | 2005-06-27 |
1598761314 | Elk Regional Health Center, Inc. | Medicare Defined Swing Bed Unit | 763 Johnsonburg Rd, St Marys, PA 15857-3417 | 2005-06-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255813945 | Emily Gregory | Occupational Therapist | Elk Haven, 785 Johnsonburg Road, Saint Marys, PA 15857 | 2018-08-30 |
1902324395 | Kylee Jo Proudfit | Specialist/Technologist | 575 Charles Street, Saint Marys, PA 15857 | 2017-09-06 |
1760829212 | Joshua Aaron Kuleck | Social Worker | 801 South Michael St., Cen Clear Child Services, Saint Marys, PA 15857 | 2013-05-23 |
1326215146 | St Marys Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 21 S Saint Marys St, Saint Marys, PA 15857 | 2008-05-12 |
1801075924 | James L Hackett Jr. | Internal Medicine | 1114 Windfall Road, St Marys, PA 15857 | 2007-10-25 |
1427261098 | Mary Kay O'conor | Radiologic Technologist | 346 Church St, St Marys, PA 15857 | 2007-05-08 |
1538205976 | Kelley A Mohney | Occupational Therapy Assistant | 211 Eckert Rd., St. Marys, PA 15857 | 2007-01-30 |
1851443824 | Joseph Jude Hawkins | Dentist | 1141 South Michael Road, St Marys, PA 15857 | 2007-01-18 |
1124190731 | Charles Richard Haskell Sr. | Dentist | 106 Wehler Road, Saint Marys, PA 15857 | 2006-11-15 |
1235229170 | Sharon Zaffarese-dippold | Social Worker | 145 Lafayette St Apt 1, Saint Marys, PA 15857 | 2006-10-13 |
Find all providers in zip 15857 |
Taxonomy Code | 2251E1300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Electrophysiology, Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558774935 | Toby Allen Bortner | Physical Therapist | 39 Hounds Run, Gettysburg, PA 17325-7890 | 2014-06-03 |
1710290267 | Karen Wientjes Albaugh | Physical Therapist | 34 Balmoral Dr, Chadds Ford, PA 19317-9287 | 2010-07-26 |
1033261201 | Richard L Read | Physical Therapist | 480 Pierce St Ste 215, Kingston, PA 18704-5512 | 2007-01-17 |
1598857567 | Terrance Lee Sullivan | Physical Therapist | 313 Glenwood Way, Butler, PA 16001-1648 | 2006-09-28 |
1487606224 | Edward J Grabinski | Physical Therapist | 3357 Overlook Dr, Emmaus, PA 18049-1967 | 2006-05-17 |
1538134093 | Clarence Raymond Schaney | Physical Therapist | 300 State Street, Suite 209, Erie, PA 16507-1428 | 2006-02-20 |
1649618679 | David Richard Lord | Physical Therapist | 300 State Street, Suite 104, Erie, PA 16507 | 2013-06-12 |
1134423809 | Thomas W Zaucha | Physical Therapist | 1265 Wayne Ave, 119 Professional Center, Suite 312, Indiana, PA 15701-3501 | 2011-01-10 |
1669623559 | Scott Charles Palmeri | Physical Therapist | 2265 Market St, Suite A, Warren, PA 16365-4668 | 2008-10-09 |
1689795437 | Thomas D Tolson | Physical Therapist | 150 Mundy St, Ste 2, Wilkes Barre, PA 18702-6830 | 2007-04-02 |
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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.