Active NPI
Michael J Jurenovich Dopc
- Specialist
- Greenville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 34.003706
- Legal business name
- MICHAEL J JURENOVICH DOPC
- Practice address
- 59 W Main St Ste B
Greenville, PA 16125-2449 - Phone
- (724) 588-4805
- Fax
- (724) 588-4809
- NPI assigned
- Aug 13, 2006
- Last updated
- Sep 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael J Jurenovich, DO
- Title
- Pres
- Phone
- (724) 588-4805
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 34.003706 | OH | Primary |
Addresses
Primary practice location
59 W Main St Ste B
Greenville, PA 16125-2449
Mailing address
59 W Main St Ste B
Greenville, PA 16125-2449
Phone (724) 588-4805
Other practice location 1
654 Youngstown Warren Rd
Niles, OH 44446-4356
Phone (724) 588-4805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012030900001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, PA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
59 W Main St
#B
Greenville, PA 16125
Phone 7245884805109
59 W Main St
#Bm
Greenville, PA 16125
Phone (724) 588-4805
59 W Main St
Ste B
Greenville, PA 16125
Phone (724) 588-4805
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Physician Assistant
- Pittsburgh, PA
- NPI 1851347280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1205848744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 W MAIN ST STE B",
"city": "GREENVILLE",
"state": "PA",
"postal_code": "161252449",
"telephone_number": "724-588-4805",
"fax_number": "724-588-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 W MAIN ST STE B",
"city": "GREENVILLE",
"state": "PA",
"postal_code": "161252449",
"telephone_number": "724-588-4805",
"fax_number": "724-588-4809"
}
],
"practiceLocations": [
{
"address_1": "654 Youngstown Warren Rd",
"address_purpose": "LOCATION",
"city": "Niles",
"state": "OH",
"postal_code": "444464356",
"country_code": "US",
"telephone_number": "724-588-4805",
"fax_number": "724-588-4809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MICHAEL J JURENOVICH DOPC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A",
"authorized_official_last_name": "JURENOVICH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "724-588-4805",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "34.003706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012030900001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.