Active NPI
Heritage Valley Medical Group, Inc.
Doing business as HVMG Gastroenterology
- Gastroenterology Physician
- Moon Township, PA
National Provider Identifier
1487806063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- HERITAGE VALLEY MEDICAL GROUP, INC.
- Doing business as
- HVMG Gastroenterology
- Practice address
- 993 Brodhead Rd
Moon Township, PA 15108-2331 - Phone
- (412) 264-1918
- Fax
- (412) 264-9114
- NPI assigned
- Oct 15, 2008
- Last updated
- Jun 29, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | NU | Primary |
Addresses
Primary practice location
993 Brodhead Rd
Moon Township, PA 15108-2331
Mailing address
993 Brodhead Rd
Moon Township, PA 15108-2331
Phone (412) 264-1918
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014950830029 | Medicaid | PA | |
| 2297465 | Medicaid | OH |
Other names 1
- HVMG Gastroenterology
National Provider Directory
National Provider DirectoryNPI 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": "1487806063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "993 BRODHEAD RD",
"city": "MOON TOWNSHIP",
"state": "PA",
"postal_code": "151082331",
"telephone_number": "412-264-1918",
"fax_number": "412-264-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "993 BRODHEAD RD",
"city": "MOON TOWNSHIP",
"state": "PA",
"postal_code": "151082331",
"telephone_number": "412-264-1918",
"fax_number": "412-264-9114"
}
],
"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": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014950830029",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2297465",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HVMG Gastroenterology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moon Township, PA
- Melinda Heher, PHD
- Rebecca G Helbus, PHARMD
- Heritage Valley Medical Group, Inc (HVMG Family Practice Associates Moon)
- Heritage Valley Medical Group, Inc (HVMG Cherrington Medical Associates)
- Heritage Valley Medical Group, Inc. (HVMG Pulmonary)
- Linda Marie Higgins, RPH
- Sarah Grace Hoffmaster, DNP, CRN,P PMHNP-BC
- Erica Hone, LPC
- Hope Grows
- April Maria Hopper, PHARMD
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.