NPIMap

Organization Active NPI

Sharon Regional Health System

  • Family Medicine Physician
  • Mercer, PA
National Provider Identifier
1053351619
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHARON REGIONAL HEALTH SYSTEM
Practice address
551 Greenville Rd
SRHS Mercer Family Medicine Center
Mercer, PA 16137-5019
Phone
(724) 662-4155
Fax
(724) 662-2352
NPI assigned
Jun 8, 2006
Organization subpart
Yes
Parent organization
SHARON REGIONAL HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Mr. Jeff A Chrobak
Title
Vice President, Finance
Phone
(724) 983-3815

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

551 Greenville Rd
SRHS Mercer Family Medicine Center
Mercer, PA 16137-5019

Mailing address

699 E State St
Sharon, PA 16146-2057
Phone (724) 983-3817

Other identifiers 4

IdentifierTypeStateIssuer
1041822OtherGATEWAY
000000068169OtherUNISON
33066OtherHEALTH AMERICA
855908OtherHIGHMARK PCP CONTRACT

Other names 1

  • SRHS Mercer Family Medicine Center PCPs Other name

National Provider Directory

National Provider Directory
Tax ID family
Sharon Regional Health26 organizations share this tax ID, including this one
Part of
Sharon Regional Health

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1053351619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 E STATE ST",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161462057",
            "telephone_number": "724-983-3817",
            "fax_number": "724-983-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 GREENVILLE RD",
            "address_2": "SRHS MERCER FAMILY MEDICINE CENTER",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161375019",
            "telephone_number": "724-662-4155",
            "fax_number": "724-662-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARON REGIONAL HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHARON REGIONAL HEALTH SYSTEM",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "CHROBAK",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "724-983-3815",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1041822",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000068169",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "33066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PCP CONTRACT",
            "identifier": "855908",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRHS Mercer Family Medicine Center PCPs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mercer, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.