Penns Valley Area Medical Center PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PENNS VALLEY AREA MEDICAL CENTER PC

Practice address

4570 Penns Valley Rd
Suite 1
Spring Mills, PA 16875-8500

Phone

(814) 422-8873

NPI assigned

Jan 16, 2007

Last updated

Dec 6, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

PENNS VALLEY AREA MEDICAL CENTER PCAs reported in NPPES

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

Authorized official

Name

William E Young, DONPI 1659422640

Title

President

Phone

(814) 422-8873

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Penns Valley Area Med C

Practitioners 1

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.

• William E Young, DO

  • Family Medicine Physician
  • Spring Mills, PA
  • NPI 1659422640
  NPD (past) Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1184775140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 PENNS VALLEY RD",
            "address_2": "SUITE 1",
            "city": "SPRING MILLS",
            "state": "PA",
            "postal_code": "168758500",
            "telephone_number": "814-422-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4570 PENNS VALLEY RD",
            "address_2": "SUITE 1",
            "city": "SPRING MILLS",
            "state": "PA",
            "postal_code": "168758500",
            "telephone_number": "814-422-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNS VALLEY AREA MEDICAL CENTER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENNS VALLEY AREA MEDICAL CENTER PC",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-422-8873",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015077740004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mount Nittany Medical Center
• Mount Nittany Medical Center Health Services Inc
• Carol Ann Myers, CRNP
• Salvatore Louis Nicosia Jr.
• Nittany Eye Associates LTD
• Penns Valley Area School District
• Penns Valley Dental Associates, P.C.
• Penns Valley Emergency Medical Services
• Melina Pinamonti, MS, CCC-SLP
• Craig E Pursell, DO

• Family Medicine Physician in Spring Mills, PA
• Providers in Spring Mills, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.