NPIMap

Organization Active NPI

Sewickley Valley Medical Group, Inc.

Doing business as The Heart & Vascular Center Moon

  • Cardiovascular Disease Physician
  • Coraopolis, PA
National Provider Identifier
1154624807
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SEWICKLEY VALLEY MEDICAL GROUP, INC.
Doing business as
The Heart & Vascular Center Moon
Practice address
935 Thorn Run Rd
Coraopolis, PA 15108-2861
Phone
(412) 264-2400
Fax
(412) 264-2425
NPI assigned
Dec 17, 2010
Last updated
Dec 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

935 Thorn Run Rd
Coraopolis, PA 15108-2861

Mailing address

935 Thorn Run Rd
Coraopolis, PA 15108-2861
Phone (412) 264-2400

Other names 1

  • The Heart & Vascular Center Moon Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Baden Area Healthcare10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1154624807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 THORN RUN RD",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082861",
            "telephone_number": "412-264-2400",
            "fax_number": "412-264-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 THORN RUN RD",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151082861",
            "telephone_number": "412-264-2400",
            "fax_number": "412-264-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEWICKLEY VALLEY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "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": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heart & Vascular Center Moon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coraopolis, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.