Active NPI
Mon-Vale Specialty Practices, Inc
Doing business as Mon-Vale Radiation Oncology
- Radiation Oncology Physician
- Monongahela, PA
National Provider Identifier
1619218765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- MON-VALE SPECIALTY PRACTICES, INC
- Doing business as
- Mon-Vale Radiation Oncology
- Practice address
- 1163 Country Club Rd
Monongahela, PA 15063-1013 - Phone
- (724) 258-1970
- NPI assigned
- Mar 13, 2013
- 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
- Daniel Simmons
- Title
- Secretary/Treasurer
- Phone
- (724) 258-1106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
1163 Country Club Rd
Monongahela, PA 15063-1013
Mailing address
1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 258-1106
Other names 1
- Mon-Vale Radiation Oncology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130128000282 | PA | Part B Supplier - Clinic/Group Practice | 0042464026 |
Receives reassigned benefits from 25 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Uniontown, PA; Rostraver TWP, PA; Rostraver Township, PA; Punxsutawney, PA; Monongahela, PA; McMurray, PA; Greensburg, PA; Du Bois, PA… |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Pulmonary Disease Physician
- Rostraver Township, PA
- NPI 1033829270
O20130128000282
-
dba Mon-Vale Breast Care
- Surgery Physician
- McMurray, PA
- NPI 1154736619
O20130128000282
-
dba Mon-Vale Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Monongahela, PA
- NPI 1235748807
O20130128000282
-
dba Mon Vale Cardiology
- Cardiovascular Disease Physician
- Monongahela, PA
- NPI 1306453865
O20130128000282
-
- Gynecology Physician
- Monongahela, PA
- NPI 1356695720
O20130128000282
-
dba Mon-Vale Nephrology
- Nephrology Physician
- Monongahela, PA
- NPI 1639610132
O20130128000282
-
dba Crudo Gonzalez Surgical Associates
- Surgery Physician
- Belle Vernon, PA
- NPI 1699027854
O20130128000282
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363219200000",
"number": "1619218765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1163 COUNTRY CLUB RD",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "150631013",
"telephone_number": "724-258-1106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1163 COUNTRY CLUB RD",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "150631013",
"telephone_number": "724-258-1970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MON-VALE SPECIALTY PRACTICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-13",
"last_updated": "2013-03-14",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "SECRETARY/TREASURER",
"authorized_official_telephone_number": "724-258-1106"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mon-Vale Radiation Oncology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Monongahela, PA
- Mon-Vale Oncology, Inc.
- Mon-Vale Radiation Oncology, Inc.
- Mon-Vale Specialty Practices, Inc (Mon-Vale Endocrinology)
- Mon-Vale Specialty Practices, Inc (Mon Vale Cardiology)
- Mon-Vale Specialty Practices, Inc
- Mon-Vale Specialty Practices, Inc (Mon-Vale Nephrology)
- Mon-Valley Ekg Associates
- Mon-Valley Medical Associates, PC
- Monongahela Medical Supply Company
- Monongahela Valley Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.