Organization Active NPI

Latrobe Surgical Group LLC

  • Surgery Physician
  • Greensburg, PA
National Provider Identifier
1770550352
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LATROBE SURGICAL GROUP LLC
Practice address
443 Frye Farm Road
Suite 100
Greensburg, PA 15601
Phone
(724) 537-7100
Fax
(724) 537-9847
NPI assigned
Mar 2, 2006
Last updated
Aug 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Authorized official

Name
Mrs. Catherine J Penrod
Title
Office Manager
Phone
(724) 537-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X PA Primary

Addresses

Primary practice location

443 Frye Farm Road
Suite 100
Greensburg, PA 15601

Mailing address

443 Frye Farm Road
Suite 100
Greensburg, PA 15601
Phone (724) 537-7100

Other identifiers 7

IdentifierTypeStateIssuer
0018040440002MedicaidPA
108268OtherPAMEDPLUS
7123139OtherPWAETNA NON-HMO
1510692OtherPAGATEWAY
2348044OtherPAAETNA HMO
342220OtherPAHIGHMARK
125680OtherPAHEALTH AMERICA/ASSURANCE

National Provider Directory

National Provider Directory

Locations

56 Club Ln
Ste 204
Blairsville, PA 15717
Phone (724) 459-6433

443 Frye Farm Rd
Ste 100
Greensburg, PA 15601
Phone (724) 532-0866

326 McKinley Ave
Ste 200
Latrobe, PA 15650
Phone (724) 238-9155

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1770550352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 FRYE FARM ROAD",
            "address_2": "SUITE 100",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-537-7100",
            "fax_number": "724-537-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 FRYE FARM ROAD",
            "address_2": "SUITE 100",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-537-7100",
            "fax_number": "724-537-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATROBE SURGICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-02",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "PENROD",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-537-7100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018040440002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS",
            "identifier": "108268",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO",
            "identifier": "7123139",
            "state": "PW"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1510692",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2348044",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "342220",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/ASSURANCE",
            "identifier": "125680",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.