NPIMap

Organization Active NPI

Heritage Valley Multispecialty Group, Inc.

  • Family Medicine Physician
  • Sewickley, PA
National Provider Identifier
1770193435
Registry record updated Aug 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HERITAGE VALLEY MULTISPECIALTY GROUP, INC.
Practice address
100 Hazel LN Ste 200
Sewickley, PA 15143-1249
Phone
(412) 749-6936
Fax
(412) 749-6940
NPI assigned
Aug 6, 2020
Organization subpart
Yes
Parent organization
HERITAGE VALLEY MULTISPECIALTY GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

100 Hazel LN Ste 200
Sewickley, PA 15143-1249

Mailing address

100 Hazel LN Ste 200
Sewickley, PA 15143-1249
Phone (412) 749-6936

Other identifiers 1

IdentifierTypeStateIssuer
0015654460108MedicaidPA

Other names 1

  • HVMG Primary Care Associates of Sewickley Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2192169HVMG Primary Care Associates of Sewickley100 Hazel Lane, 2ND Floor, Sewickley, PA 15143Certificate of waiverSep 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Tri - State Medical Group Inc92 organizations share this tax ID, including this one
Part of
Tri - State Medical Group Inc

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": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1770193435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAZEL LN STE 200",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431249",
            "telephone_number": "412-749-6936",
            "fax_number": "412-749-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAZEL LN STE 200",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431249",
            "telephone_number": "412-749-6936",
            "fax_number": "412-749-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VALLEY MULTISPECIALTY GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE VALLEY MULTISPECIALTY GROUP, INC.",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015654460108",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HVMG Primary Care Associates of Sewickley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.