Duane P Dilling

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS005846L Issued in PA

Legal business name

DUANE P DILLING

Doing business as

Southern Cove Medical Associates

Practice address

2230 Woodbury Pike
Suite 2
Loysburg, PA 16659-9506

Phone

(814) 766-3485

Fax

(814) 766-2379

NPI assigned

Jun 12, 2006

Last updated

Aug 11, 2011By 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

Duane P Dilling, DONPI 1114910254

Title

President

Phone

(814) 766-3485

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Southern Cove Medical Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Duane Paul Dilling, DO

  • Family Medicine Physician
  • Loysburg, PA
  • NPI 1114910254
  Medicare reassignment Care Compare group NPD Authorized official
• Shane M Burkett, CRNP

  • Family Nurse Practitioner
  • Loysburg, PA
  • NPI 1750926010
  Medicare reassignment Care Compare group NPD
• Karinn Gartmann, NP

  • Nurse Practitioner
  • Loysburg, PA
  • NPI 1578316600
  Medicare reassignment Care Compare group NPD
• Brooke Leeann Haubrick, CRNP

  • Gerontology Nurse Practitioner
  • Lewistown, PA
  • NPI 1376256115
  Medicare reassignment Care Compare group NPD
• Evalyn S Kennedy

  • Family Nurse Practitioner
  • Loysburg, PA
  • NPI 1275059461
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1194767426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 WOODBURY PIKE",
            "address_2": "SUITE 2",
            "city": "LOYSBURG",
            "state": "PA",
            "postal_code": "166599506",
            "telephone_number": "814-766-3485",
            "fax_number": "814-766-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 WOODBURY PIKE",
            "address_2": "SUITE 2",
            "city": "LOYSBURG",
            "state": "PA",
            "postal_code": "166599506",
            "telephone_number": "814-766-3485",
            "fax_number": "814-766-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUANE P DILLING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "DILLING",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-766-3485",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005846L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "14530",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "001308770",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001115317",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Cove Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alternative Community Resource Program, Inc.
• Bhome Medical Associates, PLLC
• Shane M Burkett, CRNP
• Trish Marie Dasher, RN
• Duane Paul Dilling, DO
• Karinn Gartmann, NP
• Evalyn S Kennedy
• Jill L Madden, PA-C
• Northern Bedford County School District
• Reed Physical Therapy, Inc.

• Family Medicine Physician in Loysburg, PA
• Providers in Loysburg, 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 Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.