Dubois Regional Medical Center
Organization Active NPI Ophthalmology Physician · Du Bois, PA
NPI 1508017286 · NPPES record last updated Jul 29, 2019
Key facts
- NPI
- 1508017286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- DUBOIS REGIONAL MEDICAL CENTER
- Practice address
- 529 Sunflower Dr
Du Bois, PA 15801-2378 - Phone
- (814) 371-2390
- Fax
- (814) 371-9532
- NPI assigned
- Oct 1, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- PENN HIGHLANDS HEALTHCARE
Authorized official
- Name
- Mr. Brian S Kline
- Title
- VP & Cfo
- Phone
- (814) 375-6377
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 2
-
Donald E. Conrad, D.O.
-
James Edward Devlin, M.D.
Other NPIs on the same Medicare enrollment 27
Related certifications (CCN) 5
Practitioners 6
-
Ryan J Bisbey, MD
-
Emily Emerson, OD
-
Jessica Gruver, OD
-
Michaela Monique Hickey, D.O.
Affiliated clinicians 708
-
Bharat G Adroja, M.D.
-
Mounzer E Agha, M.D.
-
Emmanuel A Agwa, MD
-
Gwendolyn Rene Akers, D.O.
-
Evan Tatsuya Alicuben, M.D.
-
Rajih A. Alkhafaji, M.D.
-
Patrick James Allison, MD, FRCSC
-
Lara M Allman, D.P.M.
-
Jayaseelan Ambrose, M.D.
-
Stacy Andersen, M.D.
-
Kimberly Ann Andres, PAC
-
Edward G Andrews, M.D.
-
Veronica Andrews, MD
-
Michael Rosario Astorino, CRNP
-
Beth Ann Aughenbaugh, CRNP
-
Jean Sylvestre Ayissi Essono, NURSE PRACTITIONER
-
Jessica Ann Ayres, D.O.
Medicare Care Compare: Hospital
- Listed as
- Penn Highlands Dubois
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Hospital certification: CCN 390086
- Legal name
- DUBOIS REGIONAL MEDICAL CENTER
- Doing business as
- PENN HIGHLANDS DUBOIS
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Mar 27, 2024
- Beds
- 244 (202 certified)
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Aug 25, 1955 in PA
- Enrollment address
- 100 Hospital Ave
Dubois, PA 15801-1440 - Hospital subgroups
- General, Acute care, Psychiatric unit
All disclosed owners & managing parties 22
| Name | Role | Since | Share |
|---|---|---|---|
| Douglas Winner |
Corporate Director |
Aug 12, 2024 | |
| Jourdan D Strishock |
W-2 Managing Employee |
Aug 1, 2021 | |
| Russell E Cameron |
Corporate Director |
Jul 1, 2016 | |
| Penn Highlands Healthcare, Inc. |
5% Or Greater Direct Ownership Interest | Jun 16, 2011 | 100% |
| Operational/Managerial Control | Jun 16, 2011 | 100% | |
| Robert W O'Leary |
Corporate Officer | Jul 1, 2021 | |
| Trina L Johnson |
Corporate Director |
Oct 21, 2022 | |
| Edward Yahner |
Corporate Officer | Jul 1, 2025 | |
| Joanne Ryan |
Corporate Officer | Jul 1, 2022 | |
| David Lezzer |
Corporate Officer | Jul 1, 2021 | |
| James E Devlin |
Corporate Officer | Jul 1, 2022 | |
| Carlyn Belczyk |
Corporate Officer | Oct 1, 2021 | |
| Samuel Lewis |
Corporate Officer | Feb 1, 2021 | |
| Richard L Pfingstler |
Corporate Officer | Jul 1, 2021 | |
| Donald E Conrad |
Corporate Officer | Jul 1, 2021 | |
| Scott H Foradora |
Corporate Officer | Jul 1, 2020 | |
| Mark Norman |
Corporate Director |
Jul 1, 2016 | |
| W-2 Managing Employee |
Jul 1, 2016 | ||
| William H Young |
Corporate Officer | Jul 1, 2021 | |
| Mark McGinley |
Corporate Officer | Oct 1, 2021 | |
| James B Ryan |
Corporate Officer | Jul 1, 2020 | |
| John S Sutika |
Corporate Officer | Jul 1, 2025 | |
| Brian S Kline |
Corporate Director |
Jul 1, 2024 | |
| W-2 Managing Employee |
Jul 1, 2024 | ||
| Steven M Fontaine |
Corporate Director |
Jul 1, 2016 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Penn Highlands Brookville |
Hospital | Operational/Managerial Control | Sep 26, 2007 |
| Dr Arthur Clifton McKinley Health Center |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest Operational/Managerial Control Adp of the SNF |
Dec 31, 2021 Jan 1, 2024 Sep 25, 2025 |
| Penn Highlands Jefferson Manor |
Skilled nursing facility | 5% Or Greater Indirect Ownership Interest Adp of the SNF |
Apr 1, 2019 Dec 9, 2025 |
| Penn Highlands Brookville |
Rural health clinic | Operational/Managerial Control (100%) | Oct 1, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071228000099 | PA | Part a Provider - Hospital | 5890689715 |
27 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20090107000552 | PA | Part B Supplier - Hospital Department(S) | 5890689715 |
Receives reassigned benefits from 4 practitioners Practice locations: Clearfield, PA; Dubois, PA |
National Provider Directory
- Part of
- Penn Highlands Healthcare
Locations
100 Hospital Ave
Ofc
Dubois, PA 15801
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | |||
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
529 Sunflower Dr
Du Bois, PA 15801-2378
Mailing address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100774088 | Medicaid | PA | |
| 140462 | Other | PTAN |
Other names
- Penn HIghlands Eye Center
- Penn Highlands Ophthalmology
Other providers in Du Bois, PA
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
- Dubois Regional Medical Center
All providers in Du Bois, PA · Ophthalmology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.