DUBOIS REGIONAL MEDICAL CENTER (NPI# 1851794549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851794549 |
| Entity Type | Organization |
| Organization Name | DUBOIS REGIONAL MEDICAL CENTER |
| Other Organization Name | PENN HIGHLANDS DUBOIS |
| Practice Address |
145 Hospital Ave Ste 105 Du Bois PA 15801-1463 |
| Mailing Address |
100 Hospital Ave Du Bois PA 15801-1440 |
| Practice Telephone | 8143753890 |
| Practice Fax Number | 8143753893 |
| Mailing Telephone | 8143756183 |
| Mailing Fax Number | 8143722718 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2017-08-08 |
| Authorized Official Name | BRIAN S KLINE (CFO) |
| Authorized Official Telephone | 8143756377 |
| Is Organization Subpart | Y |
| Parent Organization Name | PENN HIGHLANDS HEALTHCARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DN002090 | PA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK ASSIGNMENT ACCOUNT | 3093208 | 01 |
| Other Name | Type Code |
|---|---|
| Penn Highlands DuBois | Doing Business As Name - Organization |
| 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 |
| Street Address |
145 HOSPITAL AVE STE 105 |
| City | DU BOIS |
| State | PA |
| Zip Code | 15801-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164565628 | Joyce A Kulick | Dietitian, Registered | 145 Hospital Ave Ste 105, Du Bois, PA 15801 | 2007-02-15 |
| 1255940862 | Marilyn Jean Sheley | Registered Nurse | 145 Hospital Ave Ste 105, Du Bois, PA 15801-1463 | 2020-07-29 |
| 1558831339 | Lori Beth Rancik | Registered Nurse | 145 Hospital Ave Ste 105, Du Bois, PA 15801-1463 | 2018-12-05 |
| 1649748534 | Dubois Regional Medical Center | Nutritionist | 145 Hospital Ave Ste 105, Du Bois, PA 15801-1463 | 2018-11-08 |
| 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 |
| Find all providers in zip 15801 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154814846 | Sara Beth Stone | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-06-07 |
| 1063691343 | Ann Curtis | Dietitian, Registered | 130 S Highland St, Du Bois, PA 15801-2039 | 2007-11-02 |
| 1164565628 | Joyce A Kulick | Dietitian, Registered | 145 Hospital Ave Ste 105, Du Bois, PA 15801 | 2007-02-15 |
| 1932742566 | Deloris Marie Gibson | Dietitian, Registered | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2019-10-27 |
| 1952888976 | Physikale Nutrition LLC | Dietitian, Registered | 16288 Treasure Lk, Du Bois, PA 15801 | 2018-07-23 |
| 1215085071 | Jeril Altmire Goss | Dietitian, Registered | 145 Hospital Ave, Suite 104, Du Bois, PA 15801-1462 | 2007-01-08 |
| 1316095045 | Beth Aiello Goldbach | Dietitian, Registered | 635 Maple Ave, Du Bois, PA 15801-2376 | 2007-01-08 |
| 1912055641 | Elizabeth Boyer | Dietitian, Registered | 100 Hospital Ave, Du Bois, PA 15801-1440 | 2007-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417593 | April Christine Hawkins | Dietitian, Registered | 408 Blacklatch Ln, Camp Hill, PA 17011-8414 | 2020-11-03 |
| 1184225757 | Aleaha Lynn Wacker | Dietitian, Registered | 95 Rocky View Dr, Hawley, PA 18428-4535 | 2020-11-02 |
| 1518568088 | Laura Rose Alfieri | Dietitian, Registered | 850 E Water Street Ext, Smethport, PA 16749-2024 | 2020-11-02 |
| 1679174122 | Erika Marie Johnson | Dietitian, Registered | 1111 Franklin St Ste 180, Johnstown, PA 15905-4341 | 2020-11-02 |
| 1184224206 | Madison Demoss | Dietitian, Registered | 43 Brinker Dr, Doylestown, PA 18901-7008 | 2020-10-28 |
| 1124628201 | Shannon Lynch | Dietitian, Registered | 8 E Pine St Apt 1, Enola, PA 17025-2827 | 2020-10-28 |
| 1205434818 | Shannan Marie Stewart | Dietitian, Registered | 770 Miles Rd Ste 1, West Chester, PA 19380-1950 | 2020-10-15 |
| 1992303135 | Sneha Lakhotia | Dietitian, Registered | 200 Possum Way, Clarks Green, PA 18411-8988 | 2020-10-10 |
| 1407453210 | Susan Anne Zikos | Dietitian, Registered | 229 Edelweiss Dr, Wexford, PA 15090-9454 | 2020-10-05 |
| 1033716832 | Anna Opalko | Dietitian, Registered | 504 Philmar Ct Apt B, Springfield, PA 19064-3065 | 2020-10-05 |
| 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.