NPIMap

Organization Active NPI

Dubois Regional Medical Center

Doing business as Penn Highlands DuBois

  • Orthopaedic Surgery Physician
  • Du Bois, PA
National Provider Identifier
1083727796
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
DUBOIS REGIONAL MEDICAL CENTER
Doing business as
Penn Highlands DuBois
Practice address
123 Hospital Ave
Du Bois, PA 15801-1409
Phone
(814) 375-6200
Fax
(814) 375-6452
NPI assigned
Aug 16, 2006
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN HIGHLANDS HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Mr. Brian S Kline
Title
VP & Cfo
Phone
(814) 375-6377

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary
Podiatrist 213E00000X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

123 Hospital Ave
Du Bois, PA 15801-1409

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200

Other practice location 1

21911 Route 119
Punxsutawney, PA 15767-7922
Phone (814) 375-6200

Other practice location 2

145 Hospital Ave Ste 311
Du Bois, PA 15801-1465
Phone (814) 299-7432

Other practice location 3

761 Johnsonburg Rd Ste 310
Saint Marys, PA 15857-3480
Phone (814) 834-1686

Other practice location 4

271 Railroad St
Philipsburg, PA 16866-2300
Phone (814) 342-2740

Other practice location 5

265 Holiday Inn Rd
Clarion, PA 16214-4034
Phone (814) 375-6200

Other identifiers 2

IdentifierTypeStateIssuer
000369116OtherPAHIGHMARK BLUE CROSS
089121OtherPAPTAN

Other names 3

  • Penn Highlands DuBois Doing business as
  • Penn Highlands Orthopaedics Other name
  • Penn Highlands Orthopaedics & Sports Medicine Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050329000455 PA Part B Supplier - Clinic/Group Practice 5890689715 Receives reassigned benefits from 38 practitioners
Practice locations: Saint Marys, PA; Punxsutawney, PA; Phillipsburg, PA; Du Bois, PA; Dubois, PA; Clearfield, PA; Brookville, PA; Clarion, PA
O20071228000099 PA Part A Provider - Hospital 5890689715 27 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083727796. Details of each certification follow.

Hospital certification: CCN 390086

Legal name
DUBOIS REGIONAL MEDICAL CENTER
Doing business as
PENN HIGHLANDS DUBOIS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 27, 2024
Beds
244 (202 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 25, 1955 in PA
Enrollment address
100 Hospital Ave
Dubois, PA 15801-1440
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 27

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

View all 27

Care Compare: Hospital

Medicare Care Compare
Listed as
Penn Highlands DuboisCCN 390086 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Penn Highlands Healthcare

Member organizations 8

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Douglas Winner Individual Corporate DirectorSystem Chief Financial Officer Aug 12, 2024
Jourdan D Strishock Individual W-2 Managing EmployeeCompliance Supervisor Aug 1, 2021
Russell E Cameron Individual Corporate DirectorChief Medical Information Officer Jul 1, 2016
Penn Highlands Healthcare, Inc. Organization, Du Bois, PA Non-profit 5% Or Greater Direct Ownership Interest Jun 16, 2011 100%
Operational/Managerial Control Jun 16, 2011 100%
Robert W O'Leary Individual Corporate Officer Jul 1, 2021
Trina L Johnson Individual Corporate DirectorChief Medical Officer Oct 21, 2022
Edward Yahner Individual Corporate Officer Jul 1, 2025
Joanne Ryan Individual Corporate Officer Jul 1, 2022
David Lezzer Individual Corporate Officer Jul 1, 2021
James E Devlin Individual Corporate Officer Jul 1, 2022
Carlyn Belczyk Individual Corporate Officer Oct 1, 2021
Samuel Lewis Individual Corporate Officer Feb 1, 2021
Richard L Pfingstler Individual Corporate Officer Jul 1, 2021
Donald E Conrad Individual Corporate Officer Jul 1, 2021
Scott H Foradora Individual Corporate Officer Jul 1, 2020
Mark Norman Individual Corporate DirectorChief Operating Officer Jul 1, 2016
W-2 Managing EmployeeAd; Jul 1, 2016
William H Young Individual Corporate Officer Jul 1, 2021
Mark McGinley Individual Corporate Officer Oct 1, 2021
James B Ryan Individual Corporate Officer Jul 1, 2020
John S Sutika Individual Corporate Officer Jul 1, 2025
Brian S Kline Individual Corporate DirectorChief Financial Officer Jul 1, 2024
W-2 Managing EmployeeAd; Jul 1, 2024
Steven M Fontaine Individual Corporate DirectorChief Executive Officer Jul 1, 2016

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Penn Highlands BrookvilleBrookville, PA, CCN 391312 Hospital Operational/Managerial Control Sep 26, 2007
Dr Arthur Clifton McKinley Health CenterBrookville, PA, CCN 395550 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Operational/Managerial Control
Adp of the SNF		 Dec 31, 2021
Jan 1, 2024
Sep 25, 2025
Penn Highlands Jefferson ManorBrookville, PA, CCN 395626 Skilled nursing facility 5% Or Greater Indirect Ownership Interest
Adp of the SNF		 Apr 1, 2019
Dec 9, 2025
Penn Highlands BrookvillePhilipsburg, PA, CCN 393430 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2011

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 39

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 39

Affiliated clinicians 708

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 708

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1083727796",
    "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": "814-375-4200",
            "fax_number": "814-375-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011409",
            "telephone_number": "814-375-6200",
            "fax_number": "814-375-6452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21911 Route 119",
            "address_purpose": "LOCATION",
            "city": "Punxsutawney",
            "state": "PA",
            "postal_code": "157677922",
            "country_code": "US",
            "telephone_number": "814-375-6200",
            "fax_number": "814-375-6452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Hospital Ave Ste 311",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158011465",
            "country_code": "US",
            "telephone_number": "814-299-7432",
            "fax_number": "814-299-7434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "761 Johnsonburg Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "PA",
            "postal_code": "158573480",
            "country_code": "US",
            "telephone_number": "814-834-1686",
            "fax_number": "814-834-6279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "271 Railroad St",
            "address_purpose": "LOCATION",
            "city": "Philipsburg",
            "state": "PA",
            "postal_code": "168662300",
            "country_code": "US",
            "telephone_number": "814-342-2740",
            "fax_number": "814-342-3202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Holiday Inn Rd",
            "address_purpose": "LOCATION",
            "city": "Clarion",
            "state": "PA",
            "postal_code": "162144034",
            "country_code": "US",
            "telephone_number": "814-375-6200",
            "fax_number": "814-375-6452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUBOIS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP & CFO",
        "authorized_official_telephone_number": "814-375-6377",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "000369116",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "089121",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Highlands DuBois",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penn Highlands Orthopaedics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Penn Highlands Orthopaedics",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Penn Highlands Orthopaedics & Sports Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.