NPIMap

Organization Active NPI

Mon-Vale Oncology, Inc.

  • Hematology & Oncology Physician
  • Monongahela, PA
National Provider Identifier
1831489327
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MON-VALE ONCOLOGY, INC.
Practice address
1163 Country Club Rd
Monongahela, PA 15063-1013
Phone
(724) 292-9404
Fax
(724) 292-9155
NPI assigned
Apr 18, 2011
Organization subpart
Yes
Parent organization
MONONGAHELA VALLEY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Mrs. Jourdan Strishock
Title
Delegated Official/Authorized Offic
Phone
(814) 375-6160

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Hematology & Oncology Physician 207RH0003X Primary

Addresses

Primary practice location

1163 Country Club Rd
Monongahela, PA 15063-1013

Mailing address

100 Hospital Ave
Attn Provider Enrollment
Dubois, PA 15801-1440
Phone (724) 986-0698

Other identifiers 5

IdentifierTypeStateIssuer
1525897OtherPAGATEWAY
130506OtherPAUNISON
1019980110001MedicaidPA
085188OtherPAHEALTH AMERICA/HEALTH ASSURANCE
2937436OtherPAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160608001049 PA Part B Supplier - Clinic/Group Practice 6103003959 Receives reassigned benefits from 17 practitioners
Practice locations: Monongahela, PA

National Provider Directory

National Provider Directory
Part of
Monongahela Vly Hosp la

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1831489327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "address_2": "ATTN PROVIDER ENROLLMENT",
            "city": "DUBOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "724-986-0698",
            "fax_number": "814-372-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 COUNTRY CLUB RD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631013",
            "telephone_number": "724-292-9404",
            "fax_number": "724-292-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MON-VALE ONCOLOGY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONONGAHELA VALLEY HOSPITAL",
        "enumeration_date": "2011-04-18",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "STRISHOCK",
        "authorized_official_first_name": "JOURDAN",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL/AUTHORIZED OFFIC",
        "authorized_official_telephone_number": "814-375-6160",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1525897",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "130506",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019980110001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA/HEALTH ASSURANCE",
            "identifier": "085188",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2937436",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monongahela, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.