NPIMap

Organization Active NPI

SRMC Healthcare Group, LLC

  • Psychiatry Physician
  • Waynesburg, PA
National Provider Identifier
1104127893
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SRMC HEALTHCARE GROUP, LLC
Doing business as
SRMC Center for Recovery and Wellness
Practice address
130 Greene Plaza
Waynesburg, PA 15370-0000
Phone
(724) 627-2756
Fax
(724) 627-2757
NPI assigned
Nov 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Mrs. Cynthia J Cowie
Title
Ceo
Phone
(724) 627-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

130 Greene Plaza
Waynesburg, PA 15370-0000

Mailing address

350 Bonar Avenue
Waynesburg, PA 15370
Phone (724) 627-2673

Other names 1

  • SRMC Center for Recovery and Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SRMC Healthcare Group LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1104127893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BONAR AVENUE",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "15370",
            "telephone_number": "724-627-2673",
            "fax_number": "724-627-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GREENE PLAZA",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153700000",
            "telephone_number": "724-627-2756",
            "fax_number": "724-627-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRMC HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "COWIE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-627-3101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRMC Center for Recovery and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.