NPIMap

Organization Active NPI

Mon-Vale Specialty Practices, Inc

  • Pulmonary Disease Physician
  • Rostraver Township, PA
National Provider Identifier
1033829270
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
MON-VALE SPECIALTY PRACTICES, INC
Practice address
800 Plaza Dr Ste 160
Rostraver Township, PA 15012-4019
Phone
(814) 375-6160
NPI assigned
Nov 29, 2022
Last updated
Nov 29, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MONONGAHELA VALLEY HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Jourdan Strishock
Title
Enrollment Supervisor
Phone
(814) 375-6160

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X
Pulmonary Disease Physician 207RP1001X Primary

Addresses

Primary practice location

800 Plaza Dr Ste 160
Rostraver Township, PA 15012-4019

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-6160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130128000282 PA Part B Supplier - Clinic/Group Practice 0042464026 Receives reassigned benefits from 25 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Uniontown, PA; Rostraver TWP, PA; Rostraver Township, PA; Punxsutawney, PA; Monongahela, PA; McMurray, PA; Greensburg, PA; Du Bois, PA…

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mon-Vale Specialty Practices Inc4 organizations share this tax ID, including this one
Part of
Monongahela Valley Hospital

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

401 E Murphy Ave
Fl 2
Connellsville, PA 15425
Phone (724) 626-2485

1275 S Main St
Ste 205
Greensburg, PA 15601
Phone (724) 603-2108

2001 Waterdam Plaza Dr
Ste 108
McMurray, PA 15317
Phone (724) 746-1740

1163 Country Club Rd
Ste 102
Monongahela, PA 15063
Phone (724) 258-1000

1163 Country Club Rd
Ste 103
Monongahela, PA 15063
Phone (724) 258-1895

1290 Chess St
Ste 102
Monongahela, PA 15063
Phone (724) 374-4217

800 Plaza Dr
Ste 180
Rostraver Township, PA 15012
Phone (724) 258-2229

211 Easy St
Ste 121
Uniontown, PA 15401
Phone (724) 439-6300

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1033829270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PLAZA DR STE 160",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150124019",
            "telephone_number": "814-375-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MON-VALE SPECIALTY PRACTICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONONGAHELA VALLEY HOSPITAL, INC.",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "STRISHOCK",
        "authorized_official_first_name": "JOURDAN",
        "authorized_official_title_or_position": "ENROLLMENT SUPERVISOR",
        "authorized_official_telephone_number": "814-375-6160"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rostraver Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.