NPIMap

Organization Active NPI

Heritage Valley Medical Group, Inc.

Doing business as HVMG Primary Care - Pine Hollow

  • Family Medicine Physician
  • McKees Rocks, PA
National Provider Identifier
1003477720
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HERITAGE VALLEY MEDICAL GROUP, INC.
Doing business as
HVMG Primary Care - Pine Hollow
Practice address
596 Pine Hollow Rd
MC Kees Rocks, PA 15136-1661
Phone
(412) 771-6003
Fax
(412) 771-3575
NPI assigned
Jun 24, 2019
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HERITAGE VALLEY MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bryan J Randall
Title
Vice President & Cfo
Phone
(412) 749-7027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

596 Pine Hollow Rd
MC Kees Rocks, PA 15136-1661

Mailing address

596 Pine Hollow Rd
MC Kees Rocks, PA 15136-1661
Phone (412) 771-6003

Other names 1

  • HVMG Primary Care - Pine Hollow Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tri State Medical Group92 organizations share this tax ID, including this one
Part of
Tri State Medical Group

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1003477720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 PINE HOLLOW RD",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361661",
            "telephone_number": "412-771-6003",
            "fax_number": "412-771-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 PINE HOLLOW RD",
            "city": "MC KEES ROCKS",
            "state": "PA",
            "postal_code": "151361661",
            "telephone_number": "412-771-6003",
            "fax_number": "412-771-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VALLEY MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE VALLEY MEDICAL GROUP, INC.",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "412-749-7027"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HVMG Primary Care - Pine Hollow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKees Rocks, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.