Regional Medical Group LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD033648E Issued in PA

Legal business name

REGIONAL MEDICAL GROUP LLC

Practice address

560 Steubenville Pike
Burgettstown, PA 15021-8539

Phone

(724) 947-5350

NPI assigned

Apr 3, 2014

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Regional Medical Group - Burgettstown Doing business as

Part of

Tri - State Medical Group Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cherian John, MD

  • Internal Medicine Physician
  • Burgettstown, PA
  • NPI 1891792099
  NPD

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1780002097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 STEUBENVILLE PIKE",
            "city": "BURGETTSTOWN",
            "state": "PA",
            "postal_code": "150218539",
            "telephone_number": "724-947-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL MEDICAL GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD033648E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Medical Group - Burgettstown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Orlosky, DO
• Erica Jean Otte, PHARM.D.
• Paris Preferred Family Health
• Nicole Pathakamuri, RN
• Musa Qazi
• Regional Medical Group, LLC
• Rite Aid of Pennsylvania LLC
• Lee E Rodems
• Jessica Schad, LPC
• Carmella Joanne Scharfenberg, CRNP

• Non-Pharmacy Dispensing Site in Burgettstown, PA
• Providers in Burgettstown, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; 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.