Valley Surgeons, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD010941E Issued in PA

Legal business name

VALLEY SURGEONS, INC

Practice address

1015 Franklin St
Level C, Wessel BLDG
Johnstown, PA 15905-4110

Phone

(814) 539-8725

Fax

(814) 539-6336

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Bruce E Duke, M.D.

Title

President

Phone

(814) 539-8725

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1093743684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 FRANKLIN ST",
            "address_2": "LEVEL C, WESSEL BLDG",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054110",
            "telephone_number": "814-539-8725",
            "fax_number": "814-539-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 FRANKLIN ST",
            "address_2": "LEVEL C, WESSEL BLDG",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054110",
            "telephone_number": "814-539-8725",
            "fax_number": "814-539-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SURGEONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-539-8725",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD010941E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006411310001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP ACCOUNT",
            "identifier": "021350",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katherine Van Golen, PHARMD
• Rebecca Victoria Vandeusen
• Kori Vanhekken, MSW

• Surgery Physician in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.