Active NPI
Latrobe Surgical Group LLC
- Surgery Physician
- Greensburg, PA
National Provider Identifier
1770550352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018040440002 | Medicaid | PA | |
| 108268 | Other | PA | MEDPLUS |
| 7123139 | Other | PW | AETNA NON-HMO |
| 1510692 | Other | PA | GATEWAY |
| 2348044 | Other | PA | AETNA HMO |
| 342220 | Other | PA | HIGHMARK |
| 125680 | Other | PA | HEALTH AMERICA/ASSURANCE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Indiana, PA
- NPI 1396733093
-
- Surgery Physician
- Latrobe, PA
- NPI 1669460333
-
- Surgery Physician
- Danville, PA
- NPI 1609831965
-
- Surgery Physician
- Framingham, MA
- NPI 1285622993
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.