Organization Active NPI

Heritage Valley Medical Group, Inc.

Doing business as HVNG The Heart & Vascular Center Leetsdale

  • Cardiovascular Disease Physician
  • Leetsdale, PA
National Provider Identifier
1710139548
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HERITAGE VALLEY MEDICAL GROUP, INC.
Doing business as
HVNG The Heart & Vascular Center Leetsdale
Practice address
12 Quaker Village Shopping Ctr
Ste 2a Ohio River Blvd.
Leetsdale, PA 15056-1206
Phone
(412) 741-2700
NPI assigned
Oct 10, 2008
Last updated
Jun 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Norman F. Mitry
Title
President & Ceo
Phone
(724) 773-4776

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X NU

Addresses

Primary practice location

12 Quaker Village Shopping Ctr
Ste 2a Ohio River Blvd.
Leetsdale, PA 15056-1206

Mailing address

12 Quaker Village Shopping Ctr
Ste 2a Ohio River Blvd.
Leetsdale, PA 15056-1206
Phone (412) 741-2700

Other identifiers 2

IdentifierTypeStateIssuer
0014950830029MedicaidPA
2297465MedicaidOH

Other names 1

  • HVNG The Heart & Vascular Center Leetsdale Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heritage Valleymedical Group Inc92 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1710139548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 QUAKER VILLAGE SHOPPING CTR",
            "address_2": "STE 2A OHIO RIVER BLVD.",
            "city": "LEETSDALE",
            "state": "PA",
            "postal_code": "150561206",
            "telephone_number": "412-741-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 QUAKER VILLAGE SHOPPING CTR",
            "address_2": "STE 2A OHIO RIVER BLVD.",
            "city": "LEETSDALE",
            "state": "PA",
            "postal_code": "150561206",
            "telephone_number": "412-741-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VALLEY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "MITRY",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "724-773-4776"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014950830029",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2297465",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HVNG The Heart & Vascular Center Leetsdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leetsdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.