DV Professional Group PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DV PROFESSIONAL GROUP PLLC

Practice address

4307 Glades Dr
Allison Park, PA 15101-1521

Phone

(412) 577-8622

NPI assigned

May 3, 2024

Last updated

May 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Athan Georgiades, MDNPI 1972518363

Title

President

Phone

(412) 683-2267

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 10

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.

• Alexis Nicole Cook, PA-C

  • Physician Assistant
  • Pittsburgh, PA
  • NPI 1528751302
  Medicare reassignment Care Compare group NPD
• Athan Georgiades, M.D.

  • Surgery Physician
  • Monroeville, PA
  • NPI 1972518363
  Medicare reassignment NPD Authorized official
• Jennifer Ann Elliott, PA-C

  • Physician Assistant
  • Boston, MA
  • NPI 1497900179

  PA

  Medicare reassignment Care Compare group
• Casey Kapis, CRNP

  • Family Nurse Practitioner
  • Canonsburg, PA
  • NPI 1154771251
  Medicare reassignment NPD
• Dwight Earl Heron, MD

  • Radiation Oncology Physician
  • Youngstown, OH
  • NPI 1578536397

  PA

  Medicare reassignment NPD
• Jason P Tomsic, DO

  • Surgery Physician
  • Indianapolis, IN
  • NPI 1578766200

  PA

  Medicare reassignment NPD
• Katie Ann Coll, PA-C

  • Physician Assistant
  • Monroeville, PA
  • NPI 1558787697
  Medicare reassignment
• Amanda Alaksin

  • Registered Nurse
  • Wexford, PA
  • NPI 1669336293
  NPD (past)
• Satish Babu Kanakamedala, MD.

  • Gastroenterology Physician
  • Monroeville, PA
  • NPI 1780657544
  NPD (past)
• Douglas John Keim, D.C.

  • Chiropractor
  • Monroeville, PA
  • NPI 1083788772
  NPD (past)

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1114774577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 GLADES DR",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151011521",
            "telephone_number": "412-577-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 GLADES DR",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151011521",
            "telephone_number": "412-577-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DV PROFESSIONAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "GEORGIADES",
        "authorized_official_first_name": "ATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-683-2267",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Hammill Dorsch, LCSW
• Kara Deanne Dragone, DMD
• Drayer Physical Therapy Institute LLC
• Dunn Speech Therapy LLC
• John David Durrant, PH.D.
• Thomas Michael Eberle, PHD
• Christopher Thomas Edwards, M.D.
• Raymond M Edwards, CRNA
• Anthony Eldridge, RN
• Maureen M Elmer, MA, LPC

• Internal Medicine Physician in Allison Park, PA
• Providers in Allison Park, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.