Organization Active NPI

Latrobe Area Hospital, Inc.

  • Family Medicine Physician
  • Greensburg, PA
National Provider Identifier
1326062902
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LATROBE AREA HOSPITAL, INC.
Practice address
200 Village Dr Ste C
Greensburg, PA 15601-3783
Phone
(724) 834-6900
Fax
(724) 834-2896
NPI assigned
Jul 27, 2006
Organization subpart
Yes
Parent organization
LATROBE AREA HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Melissa L Dishong
Title
Vice President/Exec Dir - Ehpp
Phone
(724) 830-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

200 Village Dr Ste C
Greensburg, PA 15601-3783

Mailing address

134 Industrial Park Rd
Ste 2300a
Greensburg, PA 15601-7328
Phone (724) 689-1835

Other identifiers 2

IdentifierTypeStateIssuer
100761052MedicaidPA
838364OtherPAHIGHMARK

Other names 1

  • Mountain View Family Medicine Other name

National Provider Directory

National Provider Directory
Part of
Edward L Woehling

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1326062902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 INDUSTRIAL PARK RD",
            "address_2": "STE 2300A",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017328",
            "telephone_number": "724-689-1835",
            "fax_number": "724-850-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 VILLAGE DR STE C",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013783",
            "telephone_number": "724-834-6900",
            "fax_number": "724-834-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATROBE AREA HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LATROBE AREA HOSPITAL, INC.",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "DISHONG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT/EXEC DIR - EHPP",
        "authorized_official_telephone_number": "724-830-8500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761052",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "838364",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.