NPIMap

Organization Active NPI

Grove City Medical Center

  • Surgery Physician
  • Grove City, PA
National Provider Identifier
1679123350
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
GROVE CITY MEDICAL CENTER
Practice address
631 N Broad Street Ext
Grove City, PA 16127-4603
Phone
(724) 450-7119
NPI assigned
Sep 16, 2019
Organization subpart
Yes
Parent organization
GROVE CITY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
David A Poland
Title
Chief Financial Officer
Phone
(724) 450-7198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

631 N Broad Street Ext
Grove City, PA 16127-4603

Mailing address

21 Seneca St
Oil City, PA 16301-1313
Phone (814) 271-2011

Other names 1

  • GCMC Profees Wound Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Grove City Medical Center5 organizations share this tax ID, including this one
Part of
Grove City Medical Center

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

21 Seneca St
Oil City, PA 16301

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1679123350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SENECA ST",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163011313",
            "telephone_number": "814-271-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 N BROAD STREET EXT",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161274603",
            "telephone_number": "724-450-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE CITY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GROVE CITY MEDICAL CENTER",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "POLAND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "724-450-7198"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GCMC Profees Wound Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.