NPIMap

Organization Active NPI

Sewickley Valley Medical Group

  • Internal Medicine Physician
  • Aliquippa, PA
National Provider Identifier
1356656409
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD440368 Issued in PA
Legal business name
SEWICKLEY VALLEY MEDICAL GROUP
Practice address
2360 Hospital Dr
Aliquippa, PA 15001-2160
Phone
(724) 378-0830
Fax
(724) 770-7951
NPI assigned
Aug 13, 2010
Last updated
Aug 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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
Internal Medicine Physician 207R00000X MD440368 PA Primary

Addresses

Primary practice location

2360 Hospital Dr
Aliquippa, PA 15001-2160

Mailing address

2360 Hospital Dr
Aliquippa, PA 15001-2160
Phone (724) 378-0830

National Provider Directory

National Provider Directory
Tax ID family
Baden Area Healthcare10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1356656409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 HOSPITAL DR",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150012160",
            "telephone_number": "724-378-0830",
            "fax_number": "724-770-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 HOSPITAL DR",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150012160",
            "telephone_number": "724-378-0830",
            "fax_number": "724-770-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEWICKLEY VALLEY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "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": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD440368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.