NPIMap

Individual provider Active NPI

Kenneth Wayne House, DO

  • Cardiovascular Disease Physician
  • Beaver, PA
National Provider Identifier
1043216393
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS007312E Issued in PA
Practice address
Heart and Vascular Center
605 Sharon Rd.
Beaver, PA 15009
Phone
(724) 773-4502
Fax
(724) 770-7906
NPI assigned
Jun 22, 2005
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 34007859 OH
Interventional Cardiology Physician 207RI0011X OS007312E PA
Cardiovascular Disease Physician 207RC0000X OS007312E PA Primary
Cardiovascular Disease Physician 207RC0000X 34007859H OH

Addresses

Primary practice location

Heart and Vascular Center
605 Sharon Rd.
Beaver, PA 15009

Mailing address

Heart and Vascular Center
605 Sharon Rd.
Beaver, PA 15009
Phone (724) 773-4502

Other identifiers 1

IdentifierTypeStateIssuer
01393216MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100423000268 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2860529898 Reassigns benefits to 1 organization
I20120120000326 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 2860529898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-6403

12 Quaker Village Shopping Ctr
Suite 2a
Leetsdale, PA 15056-1206
Phone (412) 741-2700

48462 Bell School Rd
East Liverpool, OH 43920-9625

48462 Bell School Rd C
East Liverpool, OH 43920-9625
Phone (330) 385-5410

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

605 Sharon Rd
Beaver, PA 15009-1919
Phone (888) 844-8346

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 749-7127

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34007859HOHMDCardiovascular Disease Physician
OS007312EPAMDCardiovascular Disease Physician
34007859OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Aug 6, 1992 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Cardiovascular Disease CurrentSince Aug 6, 1992 Accepting new patients
Heritage Valley Medical Group, Inc. Cardiovascular Disease Past Accepting new patients
Special Services Cardiology Cardiovascular Disease Past Accepting new patients

Locations

48462 Bell School Rd
Ste C
East Liverpool, OH 43920
Phone (330) 385-0222

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

605 Sharon Rd
Beaver, PA 15009
Phone (724) 728-3302

701 Broad St
Fl 4
Sewickley, PA 15143
Phone (412) 741-2700

Interoperability endpoints

  • Direct secure messaging: kennethhouse@hvhs.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1043216393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HEART AND VASCULAR CENTER",
            "address_2": "605 SHARON RD.",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "15009",
            "telephone_number": "724-773-4502",
            "fax_number": "724-770-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HEART AND VASCULAR CENTER",
            "address_2": "605 SHARON RD.",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "15009",
            "telephone_number": "724-773-4502",
            "fax_number": "724-770-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "34007859",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "OS007312E",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS007312E",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34007859H",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01393216",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.