Individual provider Active NPI

Harleigh Hollern, PA-C

  • Medical Physician Assistant
  • Columbiana, OH
National Provider Identifier
1043851124
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060809 Issued in PA
Practice address
225 E State Route 14 Ste 102
Columbiana, OH 44408-8490
Phone
(330) 965-5046
NPI assigned
Sep 30, 2019
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA060809 PA Primary

Addresses

Primary practice location

225 E State Route 14 Ste 102
Columbiana, OH 44408-8490

Mailing address

496 E Grant St
East Palestine, OH 44413-2304
Phone (330) 921-8851

Other practice location 1

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 728-7000

Other practice location 2

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 741-6600

Other practice location 3

25 Heckel Rd
McKees Rocks, PA 15136-1651
Phone (412) 777-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191122001021 PA Practitioner - Physician Assistant 2668804071 Reassigns benefits to 2 organizations
I20210408000910 OH Practitioner - Physician Assistant 2668804071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

315 Struthers Liberty Rd
Suite 1
Campbell, OH 44405-1973
Phone (330) 750-1333

7629 Market St
Youngstown, OH 44512-6051

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA060809PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Valley Medical Facilities Inc CurrentSince Nov 1, 2019 Accepting new patients
Valley Medical Facilities Inc CurrentSince Nov 1, 2019 Accepting new patients
Valley Medical Facilities Inc CurrentSince Jul 1, 2020 Accepting new patients
Southwoods Health at Home, LLC PastSince Sep 1, 2021 Accepting new patients
Marsal Patient Care and Wellness, LLC PastSince Aug 1, 2021 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

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

25 Heckel Rd
Mc Kees Rocks, PA 15136
Phone (412) 777-6161

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

Organizations & group practices 8

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1043851124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 E GRANT ST",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "444132304",
            "telephone_number": "330-921-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E STATE ROUTE 14 STE 102",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444088490",
            "telephone_number": "330-965-5046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Dutch Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Beaver",
            "state": "PA",
            "postal_code": "150099727",
            "country_code": "US",
            "telephone_number": "724-728-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Blackburn Rd",
            "address_purpose": "LOCATION",
            "city": "Sewickley",
            "state": "PA",
            "postal_code": "151431459",
            "country_code": "US",
            "telephone_number": "412-741-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Heckel Rd",
            "address_purpose": "LOCATION",
            "city": "McKees Rocks",
            "state": "PA",
            "postal_code": "151361651",
            "country_code": "US",
            "telephone_number": "412-777-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLERN",
        "first_name": "HARLEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbiana, OH

Sources for this page

Verify at the official NPI Registry.