NPIMap

Individual provider Active NPI

Shane Sergent, DO

  • Emergency Medicine Physician
  • Tyrone, PA
National Provider Identifier
1770928814
Registry record updated Apr 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS017695 Issued in PA
Practice address
187 Hospital Dr
Tyrone, PA 16686-1808
Phone
(814) 684-1255
Fax
(814) 684-6395
NPI assigned
May 2, 2013
Last updated
Apr 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS017695 PA Primary

Addresses

Primary practice location

187 Hospital Dr
Tyrone, PA 16686-1808

Mailing address

187 Hospital Dr
Tyrone, PA 16686-1808
Phone (178) 804-6197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160502000962 PA Practitioner - Emergency Medicine 3870719370 Reassigns benefits to 7 organizations
I20211228001784 TX Practitioner - Emergency Medicine 3870719370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubois Regional Medical CenterGroup PAC ID 5890689715, 424 clinicians
J C Blair Memorial HospitalGroup PAC ID 2668378407, 98 clinicians
Tyrone HospitalGroup PAC ID 4183619885, 21 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2200

1225 Warm Springs Ave
PHHD Emergency Dept
Huntingdon, PA 16652-2350
Phone (814) 643-8206

187 Hospital Dr
Tyrone, PA 16686-1808
Phone (814) 684-6333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS017695PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
DLP Conemaugh Miners Medical Center LLC CurrentSince Mar 1, 2016 Accepting new patients
Gila River Regional Behavioral Health Authority CurrentSince Dec 2, 2021 Accepting new patients
Dubois Regional Medical Center CurrentSince Jul 1, 2023 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Tyrone Hospital CurrentSince Jul 1, 2023 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jul 1, 2023 Accepting new patients
Gila River Health Care CurrentSince Dec 2, 2021 Accepting new patients
DLP Conemaugh Miners Medical Center LLC Emergency Medicine Current Accepting new patients
Tyrone Hospital CurrentSince Dec 1, 2025 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Current Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Mar 1, 2016 Accepting new patients
Brookville Hospital CurrentSince Dec 1, 2025 Accepting new patients
Tyrone Hospital CurrentSince Jul 1, 2023 Accepting new patients
J C Blair Memorial Hospital Current Accepting new patients
DLP Conemaugh Miner's Medical Center LLC Emergency Medicine CurrentSince Mar 1, 2016 Accepting new patients
J C Blair Memorial Hospital CurrentSince Jul 1, 2023 Accepting new patients
Dubois Regional Medical Center Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
J. C. Blair Memorial Hospital Past Accepting new patients
Pinecroft Medical Center Past Accepting new patients

Locations

100 Hospital Rd
Brookville, PA 15825
Phone (814) 849-1408

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1086 Franklin St
#1004
Johnstown, PA 15905
Phone (814) 534-3745

187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333

187 Hospital Dr
#A
Tyrone, PA 16686
Phone (814) 503-4735

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1770928814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 HOSPITAL DR",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861808",
            "telephone_number": "178-804-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 HOSPITAL DR",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861808",
            "telephone_number": "814-684-1255",
            "fax_number": "814-684-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGENT",
        "first_name": "SHANE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS017695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, PA

Sources for this page

Verify at the official NPI Registry.