Dubois Regional Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DUBOIS REGIONAL MEDICAL CENTER

Practice address

100 Hospital Ave
Du Bois, PA 15801

Phone

(814) 371-2200

NPI assigned

Sep 27, 2007

Last updated

Oct 26, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

PENN HIGHLANDS HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Brian S Kline

Title

VP, Cfo, Authorized Official

Phone

(814) 375-6377

Specialties & licenses 11

Addresses

Other identifiers 1

Other names 1

• Penn Highlands DuBois Hospitalists Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Part of

Penn Highlands Healthcare

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Penn Highlands Healthcare

  • Emergency Medicine Physician
  • Du Bois, PA
  • NPI 1508453010
  NPPES parent name

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gurvinder Bhardwaj, M.D.

  • Nephrology Physician
  • Du Bois, PA
  • NPI 1215294624
  Medicare reassignment Care Compare group NPD
• Aquila Dufort, CRNP

  • Acute Care Nurse Practitioner
  • Ephrata, PA
  • NPI 1952835001
  Medicare reassignment Care Compare group NPD
• Gretchen Renee Herda, CRNP

  • Nurse Practitioner
  • Pittsburgh, PA
  • NPI 1487650529
  Medicare reassignment Care Compare group NPD
• Thomas Murray Baker, M.D.

  • Family Medicine Physician
  • Saint Marys, PA
  • NPI 1093756207
  Medicare reassignment NPD
• Christopher William Curran, DO

  • Student in an Organized Health Care Education/Training Program
  • Pittsburgh, PA
  • NPI 1053895151

  Physician Assistant

  Medicare reassignment NPD
• Ethan Ross Yap Dumayas, PA-C

  • Physician Assistant
  • Johnstown, PA
  • NPI 1679175749
  Medicare reassignment NPD
• Khaled Nashar, MD

  • Nephrology Physician
  • Pittsburgh, PA
  • NPI 1124056122
  Medicare reassignment NPD
• Christian Oscar Perez

  • Infectious Disease Physician
  • Pittsburgh, PA
  • NPI 1881985695
  Medicare reassignment NPD
• Kristen Schmader, AGACNP

  • Acute Care Nurse Practitioner
  • Saint Marys, PA
  • NPI 1902395643
  Medicare reassignment NPD
• Cierra Sechman, PA-C

  • Physician Assistant
  • Du Bois, PA
  • NPI 1205211265
  Medicare reassignment NPD
• Brittany N. Starr, CRNP

  • Nurse Practitioner
  • Saint Marys, PA
  • NPI 1285114082
  Medicare reassignment NPD
• Sean Gaylord Weaver, PA-C

  • Physician Assistant
  • Pittsburgh, PA
  • NPI 1659988632
  Medicare reassignment NPD

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1285821835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-4200",
            "fax_number": "814-375-4232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "15801",
            "telephone_number": "814-371-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "763 Johnsonburg Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "PA",
            "postal_code": "158573417",
            "country_code": "US",
            "telephone_number": "814-788-8000",
            "fax_number": "814-788-8098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DUBOIS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN HIGHLANDS HEALTHCARE",
        "enumeration_date": "2007-09-27",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP, CFO, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "814-375-6377"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007740880070",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Highlands DuBois Hospitalists",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Penn Highlands DuBois Hospitalists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 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 (Penn Highlands Community Pharmacy)
• Dubois Regional Medical Center
• Dubois Regional Medical Center (Penn Highlands DuBois)

• Internal Medicine Physician in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.