NPIMap

Organization Active NPI

Mon Vale Orthopedic Group, Inc.

  • Orthopaedic Surgery Physician
  • California, PA
National Provider Identifier
1255817243
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MON VALE ORTHOPEDIC GROUP, INC.
Practice address
371 Skyline Dr
California, PA 15419-1278
Phone
(724) 648-3862
Fax
(724) 938-3039
NPI assigned
Jul 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Amanda Ferguson
Title
Business Manager
Phone
(724) 379-5802

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

371 Skyline Dr
California, PA 15419-1278

Mailing address

800 Plaza Drive
Suite 400
Belle Vernon, PA 15012-4019
Phone (724) 379-5816

Other identifiers 2

IdentifierTypeStateIssuer
0011318300010MedicaidPA
150719OtherHIGHMARK BC BS

Other names 1

  • The Orthopedic Group, PC Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1633 Route 51
Ste 200
Jefferson Hills, PA 15025
Phone (412) 384-2240

100 Stoops Dr
Ste 200
Monongahela, PA 15063
Phone (724) 483-3228

800 Plaza Dr
Ste 280
Rostraver Township, PA 15012
Phone (724) 379-5802

104 Delaware Ave
Ste 100
Uniontown, PA 15401
Phone (412) 206-6770

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1255817243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PLAZA DRIVE",
            "address_2": "SUITE 400",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150124019",
            "telephone_number": "724-379-5816",
            "fax_number": "724-379-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 SKYLINE DR",
            "city": "CALIFORNIA",
            "state": "PA",
            "postal_code": "154191278",
            "telephone_number": "724-648-3862",
            "fax_number": "724-938-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MON VALE ORTHOPEDIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "724-379-5802"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011318300010",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS",
            "identifier": "150719",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Orthopedic Group, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in California, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.