Heritage Valley Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HERITAGE VALLEY MEDICAL GROUP, INC

Doing business as

HVMG Mary Ann DiBiagio D.O.

Practice address

1673 State RT 65
Ellwood City, PA 16117

Phone

(724) 758-7559

NPI assigned

Oct 15, 2008

Organization subpart

No

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

Authorized official

Name

Norman F. Mitry

Title

President & Ceo

Phone

(724) 773-4776

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HVMG Mary Ann DiBiagio D.O. Doing business as

Locations

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1083866685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 STATE RT 65",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "16117",
            "telephone_number": "724-758-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 STATE RT 65",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "16117",
            "telephone_number": "724-758-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VALLEY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "MITRY",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "724-773-4776"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015654460023",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202677",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HVMG Mary Ann DiBiagio D.O.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer L Hardin, PA-C
• Lucile A Harrell, CRNP
• Ronald R Hassen
• Elizabeth Jo Haunstein, LMT
• HCN Swamy MD PC
• Heritage Valley Medical Group, Inc.
• Joanna F Hersick, PT
• Alyssa Hill
• Melinda Hodder, MS. ED
• Michelle Hoffman, DPT, ATC, LAT

• Family Medicine Physician in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.