Medical Group of Corry, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

MEDICAL GROUP OF CORRY, INC

Practice address

315 York St
Corry, PA 16407-1412

Phone

(814) 664-8686

Fax

(814) 664-9826

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Peter C Albright

Title

Administrator

Phone

(814) 664-8686

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1932129368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 YORK ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071412",
            "telephone_number": "814-664-8686",
            "fax_number": "814-664-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 YORK ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071412",
            "telephone_number": "814-664-8686",
            "fax_number": "814-664-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP OF CORRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "ALBRIGHT",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-664-8686"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "463990",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006472600016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Mattswell
• Paul A McGeehan, M.D.
• Mead Avenue Family Practice, Inc.
• Medical Associates of Erie
• Medical Associates of Erie
• Medical Group of Corry, Inc.
• Linda A Miller
• Steven D Mitchell, DC
• Cheryl A Mongera, CRNP
• New Jersey-Pennsylvania Em- I Medical Services PC

• Rural Health Clinic/Center in Corry, PA
• Providers in Corry, PA by specialty
• Rural Health Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.