NPIMap

Individual provider Active NPI

Gregg S Zernich, D.O.

  • Family Medicine Physician
  • Monaca, PA
National Provider Identifier
1558387308
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006745L Issued in PA
Practice address
3950 Brodhead Rd
Suite 200
Monaca, PA 15061-3030
Phone
(724) 775-5833
Fax
(724) 775-7780
NPI assigned
Jul 14, 2006
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS006745L PA Primary

Addresses

Primary practice location

3950 Brodhead Rd
Suite 200
Monaca, PA 15061-3030

Mailing address

3950 Brodhead Rd
Suite 200
Monaca, PA 15061-3030
Phone (724) 775-5833

Other identifiers 1

IdentifierTypeStateIssuer
0011810810006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100803000257 PA Practitioner - Family Practice 0345373999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mrs Physical TherapyGroup PAC ID 0042128407, 168 clinicians

Practice addresses (Care Compare)

100 Hazel LN
Sewickley, PA 15143-1249

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS006745LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. Family Medicine CurrentSince Mar 9, 1989 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Family Medicine CurrentSince Mar 9, 1989 Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients

Locations

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

3950 Brodhead Rd
Ste 200
Monaca, PA 15061
Phone (724) 775-5833

Interoperability endpoints

  • Direct secure messaging: greggzernich@hvhs.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1558387308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 BRODHEAD RD",
            "address_2": "SUITE 200",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613030",
            "telephone_number": "724-775-5833",
            "fax_number": "724-775-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 BRODHEAD RD",
            "address_2": "SUITE 200",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613030",
            "telephone_number": "724-775-5833",
            "fax_number": "724-775-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERNICH",
        "first_name": "GREGG",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006745L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011810810006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monaca, PA

Sources for this page

Verify at the official NPI Registry.