Dubois Regional Medical Center

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

DUBOIS REGIONAL MEDICAL CENTER

Practice address

210 Loch Lomond Rd
Philipsburg, PA 16866-1930

Phone

(814) 343-8742

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John S. Sutika

Title

Cfo

Phone

(814) 375-6104

Specialties & licenses 1

Addresses

Other names 1

• Cardiology at Philipsburg Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Dubois Regional Medical Center

  • Cardiovascular Disease Physician
  • Punxsutawney, PA
  • NPI 1407941305

  O20050318000691

  Same enrollment
• Dubois Regional Medical Center

  • Internal Medicine Physician
  • Du Bois, PA
  • NPI 1679673099

  O20050318000691

  Same enrollment
• Dubois Regional Medical Center

  • Cardiovascular Disease Physician
  • Clearfield, PA
  • NPI 1831284728

  O20050318000691

  Same enrollment

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255426151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158010447",
            "telephone_number": "814-343-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LOCH LOMOND RD",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661930",
            "telephone_number": "814-343-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOIS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUTIKA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-375-6104",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiology at Philipsburg",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Deyarmin, PHARMD
• Dicks Home Care Inc
• Coleen Anne Dixon, M. ED., LPC
• Drayer Physical Therapy Institute LLC
• Dubois Reg Med Ctr - PH Dubois Moshannon Valley Community Med BLDG
• Dubois Regional Medical Center
• Dubois Regional Medical Group PC
• Beth Dunlap
• Brea Diane Dunn, LSW
• Diana Dawn Dutra, D.O.

• Cardiovascular Disease Physician in Philipsburg, PA
• Providers in Philipsburg, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.