NPIMap

Organization Active NPI

Highlands Hospital and Health Center

Doing business as Highlands Hospital Women's Health Center

  • Gynecology Physician
  • Connellsville, PA
National Provider Identifier
1497362453
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
HIGHLANDS HOSPITAL AND HEALTH CENTER
Doing business as
Highlands Hospital Women's Health Center
Practice address
700 Park St Ste 6
Connellsville, PA 15425-2744
Phone
(724) 603-2671
NPI assigned
Sep 24, 2020
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HIGHLANDS HOSPITAL AND HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
John Andursky
Title
Patient Accounting Manager
Phone
(724) 626-2359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X NU Primary

Addresses

Primary practice location

700 Park St Ste 6
Connellsville, PA 15425-2744

Mailing address

401 E Murphy Ave
Connellsville, PA 15425-2700
Phone (724) 626-2221

Other names 1

  • Highlands Hospital Women's Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201130001281 PA Part B Supplier - Clinic/Group Practice 2769460757 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Connellsville, PA; Greensburg, PA; Monongahela, PA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2212580Highlands Hospital Women's Health700 Park Street, Connellsville, PA 15425Provider-performed microscopyFeb 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Highlands Hospital and Health Center11 organizations share this tax ID, including this one
Part of
Highlands Hospital and Health Center

Other organizations with this tax ID 10

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

Locations

1029 Country Club Rd
Ste 203
Monongahela, PA 15063
Phone (724) 258-9680

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1497362453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E MURPHY AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154252700",
            "telephone_number": "724-626-2221",
            "fax_number": "724-626-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PARK ST STE 6",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154252744",
            "telephone_number": "724-603-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS HOSPITAL AND HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHLANDS HOSPITAL AND HEALTH CENTER",
        "enumeration_date": "2020-09-24",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "ANDURSKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PATIENT ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "724-626-2359"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Hospital Women's Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.