Organization Active NPI

Heritage Valley Medical Group, Inc.

Doing business as HVMG Richard Beatty

  • Internal Medicine Physician
  • East Liverpool, OH
National Provider Identifier
1922250778
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HERITAGE VALLEY MEDICAL GROUP, INC.
Doing business as
HVMG Richard Beatty
Practice address
48462 Bell School Rd
Suite a
East Liverpool, OH 43920-9625
Phone
(330) 385-9492
NPI assigned
Oct 10, 2008
Last updated
Jun 29, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
TRI-STATE MEDICAL GROUP, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Norman F. Mitry
Title
President & Ceo
Phone
(724) 773-4776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

48462 Bell School Rd
Suite a
East Liverpool, OH 43920-9625

Mailing address

48462 Bell School Rd
Suite a
East Liverpool, OH 43920-9625
Phone (330) 385-9492

Other identifiers 2

IdentifierTypeStateIssuer
0015654460023MedicaidPA
0202677MedicaidOH

Other names 1

  • HVMG Richard Beatty Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heritage Valleymedical Group Inc92 organizations share this tax ID, including this one
Part of
Heritage Valleymedical Group Inc

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

48462 Bell School Rd
Ste A
East Liverpool, OH 43920
Phone (330) 385-9492

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1922250778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48462 BELL SCHOOL RD",
            "address_2": "SUITE A",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209625",
            "telephone_number": "330-385-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48462 BELL SCHOOL RD",
            "address_2": "SUITE A",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209625",
            "telephone_number": "330-385-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VALLEY MEDICAL GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRI-STATE MEDICAL GROUP, INC.",
        "enumeration_date": "2008-10-10",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "MITRY",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "724-773-4776"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015654460023",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202677",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HVMG Richard Beatty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.