NPIMap

Organization Active NPI

Heritage Valley Multispecialty Group, Inc.

Doing business as HVMG Primary Care West

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1154962561
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HERITAGE VALLEY MULTISPECIALTY GROUP, INC.
Doing business as
HVMG Primary Care West
Practice address
6521 Steubenville Pike
Pittsburgh, PA 15205-1005
Phone
(724) 773-5890
Fax
(724) 773-5892
NPI assigned
Oct 7, 2019
Last updated
Oct 7, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
HERITAGE VALLEY MULTISPECIALTY GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Bryan J Randall
Title
Vice President & Ceo
Phone
(412) 749-7027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

6521 Steubenville Pike
Pittsburgh, PA 15205-1005

Mailing address

6521 Steubenville Pike
Pittsburgh, PA 15205-1005
Phone (724) 773-5890

Other identifiers 1

IdentifierTypeStateIssuer
001565446MedicaidPA

Other names 1

  • HVMG Primary Care West Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heritage Valleymedical Group Inc92 organizations share this tax ID, including this one
Part of
Heritage Valleymedical Group Inc

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

Locations

6521 Steubenville Pike
Pittsburgh, PA 15205
Phone (412) 749-6920

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1154962561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 STEUBENVILLE PIKE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152051005",
            "telephone_number": "724-773-5890",
            "fax_number": "724-773-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 STEUBENVILLE PIKE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152051005",
            "telephone_number": "724-773-5890",
            "fax_number": "724-773-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VALLEY MULTISPECIALTY GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE VALLEY MULTISPECIALTY GROUP, INC.",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT & CEO",
        "authorized_official_telephone_number": "412-749-7027"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001565446",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HVMG Primary Care West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.