NPIMap

Organization Active NPI

Dubois Regional Medical Group, PC

Doing business as North Central Cardiology Associates (NCCA)

  • Cardiovascular Disease Physician
  • Clearfield, PA
National Provider Identifier
1598970949
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
DUBOIS REGIONAL MEDICAL GROUP, PC
Doing business as
North Central Cardiology Associates (NCCA)
Practice address
807 Doctors Dr
Clearfield, PA 16830-1240
Phone
(814) 375-3711
NPI assigned
May 11, 2007
Last updated
Sep 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
John S Sutika
Title
Vice President & Cfo
Phone
(814) 375-6104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

807 Doctors Dr
Clearfield, PA 16830-1240

Mailing address

PO Box 189
Reynoldsville, PA 15851-0189
Phone (814) 653-8162

Other identifiers 1

IdentifierTypeStateIssuer
100751931-0006MedicaidPA

Other names 1

  • North Central Cardiology Associates (NCCA) Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1598970949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "REYNOLDSVILLE",
            "state": "PA",
            "postal_code": "158510189",
            "telephone_number": "814-653-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 DOCTORS DR",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301240",
            "telephone_number": "814-375-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOIS REGIONAL MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "SUTIKA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "814-375-6104"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100751931-0006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Central Cardiology Associates (NCCA)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.