Organization Active NPI

Mon-Vale Specialty Practices, Inc

Doing business as Mon-Vale Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Monongahela, PA
National Provider Identifier
1235748807
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MON-VALE SPECIALTY PRACTICES, INC
Doing business as
Mon-Vale Endocrinology
Practice address
100 Stoops Dr Ste 200
Monongahela, PA 15063-3554
Phone
(724) 483-4083
NPI assigned
Jul 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Melissa Shawley
Title
Provider Relations
Phone
(724) 379-4011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

100 Stoops Dr Ste 200
Monongahela, PA 15063-3554

Mailing address

100 Stoops Dr Ste 200
Monongahela, PA 15063-3554

Other names 1

  • Mon-Vale Endocrinology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130128000282 PA Part B Supplier - Clinic/Group Practice 0042464026 Receives reassigned benefits from 25 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Uniontown, PA; Rostraver TWP, PA; Rostraver Township, PA; Punxsutawney, PA; Monongahela, PA; McMurray, PA; Greensburg, PA; Du Bois, PA…

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mon-Vale Specialty Practices Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1290 Chess St
Monongahela, PA 15063
Phone (724) 258-3966

1290 Chess St
Ste 102
Monongahela, PA 15063
Phone (724) 374-4217

1163 Country Club Rd
Fl Fourth
Monongahela, PA 15063

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1235748807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STOOPS DR STE 200",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STOOPS DR STE 200",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633554",
            "telephone_number": "724-483-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MON-VALE SPECIALTY PRACTICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "SHAWLEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PROVIDER RELATIONS",
        "authorized_official_telephone_number": "724-379-4011"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mon-Vale Endocrinology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monongahela, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.

Verify at the official NPI Registry.