Organization Active NPI

SRMC Healthcare Group, LLC

  • Internal Medicine Physician
  • Waynesburg, PA
National Provider Identifier
1477873537
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SRMC HEALTHCARE GROUP, LLC
Doing business as
SRMC Primary Care
Practice address
236 Elm Dr Ste 103
Waynesburg, PA 15370-8265
Phone
(724) 627-5780
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Cynthia J Cowie
Title
Ceo
Phone
(724) 627-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

236 Elm Dr Ste 103
Waynesburg, PA 15370-8265

Mailing address

236 Elm Dr Ste 103
Waynesburg, PA 15370-8265
Phone (724) 627-5780

Other names 1

  • SRMC Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SRMC Healthcare Group LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1477873537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 ELM DR STE 103",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708265",
            "telephone_number": "724-627-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 ELM DR STE 103",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153708265",
            "telephone_number": "724-627-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRMC HEALTHCARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "COWIE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-627-3101"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRMC Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.