Dubois Regional Medical Center
Organization Active NPI Pulmonary Disease Physician · Du Bois, PA
NPI 1659534337 · NPPES record last updated Mar 20, 2025
Key facts
- NPI
- 1659534337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- Legal business name
- DUBOIS REGIONAL MEDICAL CENTER
- Practice address
- 100 Hospital Ave
Du Bois, PA 15801-1440 - Phone
- (814) 375-3770
- Fax
- (814) 375-3772
- NPI assigned
- Jul 3, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- PENN HIGHLANDS HEALTHCARE
Authorized official
- Name
- Mr. Brian S Kline
- Title
- 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 13
-
Sandeep Bansal, MD
-
Jamie L Bush, CRNP
-
Heidi L Gregg, CRNP
-
Angelo Illuzzi, DO
-
Jonathan E Spahr, M.D.
-
John Daniel Strickland, PA-C
-
Todd Ryan Sudik, CRNP
-
Kerri Wingard, NP
-
Erin Beth Wood, CRNP
-
Rajesh SK Rao, MD
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 |
| O20081208000059 | PA | Part B Supplier - Hospital Department(S) | 5890689715 |
Receives reassigned benefits from 13 practitioners Practice locations: Dubois, PA; Saint Marys, PA; Punxsutawney, PA; Philipsburg, PA; Clearfield, PA; Clarion, PA; Brookville, PA |
National Provider Directory
- Part of
- Penn Highlands Healthcare
Locations
88 Hospital Rd
Fl 2
Brookville, PA 15825
Phone (814) 371-2100
551 W Mahoning St
Slp Me
Punxsutawney, PA 15767
Phone (814) 249-7006
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician |
207RC0200X | |||
| Pulmonary Disease Physician |
207RP1001X | Yes | ||
| Sleep Medicine (Internal Medicine) Physician |
207RS0012X | |||
| Pediatric Pulmonology Physician |
2080P0214X | |||
| Surgery Physician |
208600000X | |||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
100 Hospital Ave
Du Bois, PA 15801-1440
Mailing address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200
Other practice location 1
621 S Main St
Du Bois, PA 15801-1413
Phone (814) 503-8573
Other practice location 2
123 Hospital Ave
Du Bois, PA 15801-1409
Phone (814) 371-1510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100774088 | Medicaid | PA | |
| 138758 | Other | PA | PTAN |
Other names
- Penn Highlands DuBois
- Penn Highlands Lung Center
- Penn Highlands Pediatric Pulmonology
- Penn Highlands Pulmonology Critical Care & Sleep Medicine
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 · Pulmonary Disease 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 Mar 20, 2025. 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.