NPIMap

Organization Active NPI

Heritage Valley Medical Group, Inc.

Doing business as HVMG Surgical Associates Sewickely

  • Vascular Surgery Physician
  • Sewickely, PA
National Provider Identifier
1356593933
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
HERITAGE VALLEY MEDICAL GROUP, INC.
Doing business as
HVMG Surgical Associates Sewickely
Practice address
111 Hazel Lane, Suite 100
Edgeworth Square
Sewickely, PA 15143
Phone
(412) 741-8862
NPI assigned
Oct 15, 2008
Last updated
Jun 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Norman F. Mitry
Title
President & Ceo
Phone
(724) 773-4776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

111 Hazel Lane, Suite 100
Edgeworth Square
Sewickely, PA 15143

Mailing address

111 Hazel Lane, Suite 100
Edgeworth Square
Sewickely, PA 15143
Phone (412) 741-8862

Other identifiers 2

IdentifierTypeStateIssuer
2297465MedicaidOH
0014950830029MedicaidPA

Other names 1

  • HVMG Surgical Associates Sewickely Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heritage Valleymedical Group Inc92 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1356593933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HAZEL LANE, SUITE 100",
            "address_2": "EDGEWORTH SQUARE",
            "city": "SEWICKELY",
            "state": "PA",
            "postal_code": "15143",
            "telephone_number": "412-741-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HAZEL LANE, SUITE 100",
            "address_2": "EDGEWORTH SQUARE",
            "city": "SEWICKELY",
            "state": "PA",
            "postal_code": "15143",
            "telephone_number": "412-741-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VALLEY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "MITRY",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "724-773-4776"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2297465",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014950830029",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HVMG Surgical Associates Sewickely",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.