Dubois Regional Medical Center
Organization Active NPI Family Medicine Physician · Du Bois, PA
NPI 1245410554 · NPPES record last updated Aug 17, 2026
Key facts
- NPI
- 1245410554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- DUBOIS REGIONAL MEDICAL CENTER
- Practice address
- 100 Hospital Ave
Du Bois, PA 15801-1440 - Phone
- (814) 375-4090
- Fax
- (814) 372-2581
- NPI assigned
- Nov 5, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- PENN HIGHLANDS HEALTHCARE
Authorized official
- Name
- Mr. Brian S Kline
- Title
- VP & Cfo
- Phone
- (814) 375-6377
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 5
-
Ryan J Bisbey, MD
-
Donald E. Conrad, D.O.
-
James Edward Devlin, M.D.
-
Hazem F Elkassas, MD
-
Richard Francis Latuska, M.D.
Other NPIs on the same Medicare enrollment 31
Related certifications (CCN) 31
Practitioners 121
-
Michael Rosario Astorino, CRNP
-
Thomas Murray Baker, M.D.
-
Taylor Barger, PA-C
-
Amber N Beck, PA-C
-
Morgan Diane Beimel, PA-C
-
Crista Marie Bennett, PA-C
-
Ashley Nicole Bertram, PA-C
-
Emily Rae Bish, PA-C
-
Darlene A Brink, CRNP
-
George Castellano, M.D.
-
Donald E. Conrad, D.O.
-
James Edward Devlin, M.D.
-
Laura Edwards, PA-C
-
Andrea Curstin Feliciano, PA-C
-
Rachael Finland, CRNP
-
Shelby Fleck, PA-C
-
Amanda Fremer, PA-C
-
Brittany James Geitner, PA-C
Affiliated clinicians 708
-
Bharat G Adroja, M.D.
-
Mounzer E Agha, M.D.
-
Emmanuel A Agwa, MD
-
Gwendolyn Rene Akers, D.O.
-
Evan Tatsuya Alicuben, M.D.
-
Rajih A. Alkhafaji, M.D.
-
Patrick James Allison, MD, FRCSC
-
Lara M Allman, D.P.M.
-
Jayaseelan Ambrose, M.D.
-
Stacy Andersen, M.D.
-
Kimberly Ann Andres, PAC
-
Edward G Andrews, M.D.
-
Veronica Andrews, MD
-
Michael Rosario Astorino, CRNP
-
Beth Ann Aughenbaugh, CRNP
-
Jean Sylvestre Ayissi Essono, NURSE PRACTITIONER
-
Jessica Ann Ayres, D.O.
Medicare Care Compare: Hospital
- Listed as
- Penn Highlands Dubois
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in PA
Hospital certification: CCN 390086
- Legal name
- DUBOIS REGIONAL MEDICAL CENTER
- Doing business as
- PENN HIGHLANDS DUBOIS
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 27, 2024
- Beds
- 244 (202 certified)
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 25, 1955 in PA
- Enrollment address
- 100 Hospital Ave
Dubois, PA 15801-1440 - Hospital subgroups
- General, Acute care, Psychiatric unit
Rural health clinic certification: CCN 393414
- Legal name
- DUBOIS REGIONAL MEDICAL CENTER
- Doing business as
- PENN HIGHLANDS DUBOIS
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- May 3, 2010
- Last certification
- Mar 31, 2022
- Ownership / control type
- 2B
- Most recent change of ownership
- Jun 1, 2017 (1 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 25, 1955 in PA
- Enrollment address
- 22 Industrial Park Road
Brookville, PA 15825-7228 - Related CCNs
- 390086
All disclosed owners & managing parties 38
| Name | Role | Since | Share |
|---|---|---|---|
| Douglas Winner |
Corporate Director |
Aug 12, 2024 | |
| Jourdan D Strishock |
W-2 Managing Employee |
Aug 1, 2021 | |
| Russell E Cameron |
Corporate Director |
Jul 1, 2016 | |
| Penn Highlands Healthcare, Inc. |
5% Or Greater Direct Ownership Interest | Jun 16, 2011 | 100% |
| Operational/Managerial Control | Jun 16, 2011 | 100% | |
| Other | Jan 1, 2013 | ||
| Robert W O'Leary |
Corporate Officer | Jul 1, 2021 | |
| Trina L Johnson |
Corporate Director |
Oct 21, 2022 | |
| Edward Yahner |
Corporate Officer | Jul 1, 2025 | |
| Corporate Director |
Jul 1, 2017 | ||
| Joanne Ryan |
Corporate Officer | Jul 1, 2022 | |
| David Lezzer |
Corporate Officer | Jul 1, 2021 | |
| James E Devlin |
Corporate Officer | Jul 1, 2022 | |
| Carlyn Belczyk |
Corporate Officer | Oct 1, 2021 | |
| Samuel Lewis |
Corporate Officer | Feb 1, 2021 | |
| Richard L Pfingstler |
Corporate Officer | Jul 1, 2021 | |
| Donald E Conrad |
Corporate Officer | Jul 1, 2021 | |
| Scott H Foradora |
Corporate Officer | Jul 1, 2020 | |
| Mark Norman |
Corporate Director |
Jul 1, 2016 | |
| W-2 Managing Employee |
Jul 1, 2016 | ||
| William H Young |
Corporate Officer | Jul 1, 2021 | |
| Mark McGinley |
Corporate Officer | Oct 1, 2021 | |
| James B Ryan |
Corporate Officer | Jul 1, 2020 | |
| John S Sutika |
Corporate Officer | Jul 1, 2025 | |
| Corporate Director |
Oct 1, 2011 | 5.26% | |
| W-2 Managing Employee |
Oct 1, 2011 | 5.26% | |
| Brian S Kline |
Corporate Director |
Jul 1, 2024 | |
| W-2 Managing Employee |
Jul 1, 2024 | ||
| Steven M Fontaine |
Corporate Director |
Jul 1, 2016 | |
| Michael T Miller |
Corporate Officer |
Jun 30, 2016 | 5.26% |
| Corporate Director |
Jan 15, 2013 | 5.26% | |
| Brian Wingard |
Corporate Director |
Jul 1, 2021 | |
| Ryan J Bisbey |
Corporate Director |
Jul 1, 2021 | |
| Bonita J McCartney |
Corporate Director |
Jun 30, 2016 | 5.26% |
| Daniel Hawkins |
Corporate Director |
Jul 1, 2021 | |
| Heather Schneider |
Corporate Director |
May 10, 2022 | |
| W-2 Managing Employee |
May 10, 2022 | ||
| Richard F Latuska |
Corporate Director |
Jul 1, 2020 | |
| Hazem F Elkassas |
Corporate Director |
Jan 17, 2012 | 5.26% |
| Joyce R Fairman |
Corporate Director |
Jun 30, 2016 | 5.26% |
| Raymond E Donati |
Corporate Director |
Jun 30, 2016 | 5.26% |
| Joshua B Benton |
Corporate Director |
Jul 1, 2017 | |
| Michael Armanini |
Corporate Director |
Jul 1, 2019 | |
| James D Curtis |
Corporate Director |
Jan 21, 2003 | 5.26% |
| Sally Moran |
Corporate Director |
Jun 30, 2016 | 5.26% |
| Robert M Edwards |
Corporate Director |
Jul 1, 2021 | |
| William Jay Chamberlain |
Corporate Director |
Jul 1, 2017 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Penn Highlands Brookville |
Hospital | Operational/Managerial Control | Sep 26, 2007 |
| Dr Arthur Clifton McKinley Health Center |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest Operational/Managerial Control Adp of the SNF |
Dec 31, 2021 Jan 1, 2024 Sep 25, 2025 |
| Penn Highlands Jefferson Manor |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest Adp of the SNF |
Apr 1, 2019 Dec 9, 2025 |
| Penn Highlands Brookville |
Rural health clinic | Operational/Managerial Control (100%) | Oct 1, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040426000432 | PA | Part B Supplier - Clinic/Group Practice | 5890689715 |
Receives reassigned benefits from 118 practitioners 3 other NPIs on this enrollment Practice locations: Saint Marys, PA; Ridgway, PA; Reynoldsville, PA; Punxsutawney, PA; Dubois, PA; Brockway, PA; Brookville, PA; Clarion, PA… |
| O20071228000099 | PA | Part a Provider - Hospital | 5890689715 |
27 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20170406002981 | PA | Part a Provider - Rural Health Clinic | 5890689715 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brookville, PA |
National Provider Directory
- Part of
- Penn Highlands Healthcare
Locations
265 Holiday Inn Rd
#Q
Clarion, PA 16214
Phone (814) 297-8848
465 State St
Curwensville, PA 16833
Phone (814) 236-1123
529 Sunflower Dr
Ste 1
Du Bois, PA 15801
Phone (814) 375-0600
145 Hospital Ave
Ste 205
Dubois, PA 15801
Phone (814) 371-0373
761 Johnsonburg Rd
Ste 130
Saint Marys, PA 15857
Phone (814) 781-1188
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Physician Assistant |
363A00000X |
Addresses
Primary practice location
100 Hospital Ave
Du Bois, PA 15801-1440
Mailing address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106218 | Other | PA | PTAN |
| C15292 | Other | PA | PALMETTO GBA |
Other names
- Penn Highlands Family Practices
Other providers in Du Bois, PA
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
All providers in Du Bois, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.