Active NPI
Latrobe Area Hospital, Inc.
- Family Medicine Physician
- Saltsburg, PA
National Provider Identifier
1902820590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LATROBE AREA HOSPITAL, INC.
- Practice address
- 101 9TH St
Saltsburg, PA 15681-8985 - Phone
- (724) 639-3541
- Fax
- (724) 639-8318
- NPI assigned
- Jul 27, 2006
- Organization subpart
- Yes
- Parent organization
- LATROBE AREA HOSPITAL, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa L Dishong
- Title
- Vice President/Exec Dir - Ehpp
- Phone
- (724) 830-8500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
101 9TH St
Saltsburg, PA 15681-8985
Mailing address
134 Industrial Park Rd
Ste 2300a
Greensburg, PA 15601-7328
Phone (724) 689-1835
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401949 | Other | GROUP MEDICARE NO. | |
| 838366 | Other | PA | HIGHMARK |
| 100761052 | Medicaid | PA |
Other names 1
- Saltsburg Family Medicine
National Provider Directory
National Provider Directory- Part of
- Edward L Woehling
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1446422400000",
"number": "1902820590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 INDUSTRIAL PARK RD",
"address_2": "STE 2300A",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156017328",
"telephone_number": "724-689-1835",
"fax_number": "724-850-8096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 9TH ST",
"city": "SALTSBURG",
"state": "PA",
"postal_code": "156818985",
"telephone_number": "724-639-3541",
"fax_number": "724-639-8318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LATROBE AREA HOSPITAL, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LATROBE AREA HOSPITAL, INC.",
"enumeration_date": "2006-07-27",
"last_updated": "2015-11-02",
"status": "A",
"authorized_official_last_name": "DISHONG",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VICE PRESIDENT/EXEC DIR - EHPP",
"authorized_official_telephone_number": "724-830-8500"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE NO.",
"identifier": "401949",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "838366",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100761052",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Saltsburg Family Medicine",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Saltsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.