Organization Active NPI

Heritage Valley Medical Group, Inc

Doing business as HVMG Family Practice Associates Hopewell

  • Family Medicine Physician
  • Aliquippa, PA
National Provider Identifier
1225280803
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HERITAGE VALLEY MEDICAL GROUP, INC
Doing business as
HVMG Family Practice Associates Hopewell
Practice address
3113 Green Garden Rd
Aliquippa, PA 15001-1000
Phone
(724) 773-4650
Fax
(724) 770-7950
NPI assigned
Oct 15, 2008
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3113 Green Garden Rd
Aliquippa, PA 15001-1000

Mailing address

3113 Green Garden Rd
Aliquippa, PA 15001-1000
Phone (724) 773-4650

Other practice location 1

99 Buss Rd
Aliquippa, PA 15001-4749
Phone (724) 378-6640

Other identifiers 2

IdentifierTypeStateIssuer
2297465MedicaidOH
0014950830029MedicaidPA

Other names 1

  • HVMG Family Practice Associates Hopewell Doing business as

National Provider Directory

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

Organizations with this tax ID in the same state 24

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

View all 24

Locations

3113 Green Garden Rd
Aliquippa, PA 15001
Phone (724) 378-9170

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1225280803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 GREEN GARDEN RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011000",
            "telephone_number": "724-773-4650",
            "fax_number": "724-770-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 GREEN GARDEN RD",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011000",
            "telephone_number": "724-773-4650",
            "fax_number": "724-770-7950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Buss Rd",
            "address_purpose": "LOCATION",
            "city": "Aliquippa",
            "state": "PA",
            "postal_code": "150014749",
            "country_code": "US",
            "telephone_number": "724-378-6640",
            "fax_number": "724-378-6619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERITAGE VALLEY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2297465",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014950830029",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HVMG Family Practice Associates Hopewell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HVMG Family Practice Associates Hopewell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aliquippa, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.