NPIMap

Organization Active NPI

Mount Nittany Medical Center Health Services Inc

  • Orthopaedic Surgery of the Spine Physician
  • State College, PA
National Provider Identifier
1962292441
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
Practice address
101 Regent CT
State College, PA 16801-7965
Phone
(814) 231-2101
Fax
(814) 231-8569
NPI assigned
May 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Bryan Roach
Title
Cfo
Phone
(303) 887-4229

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

101 Regent CT
State College, PA 16801-7965

Mailing address

101 Regent CT
State College, PA 16801-7965
Phone (814) 231-2101

Other practice location 1

90 Beaver Dr Ste 211D
Du Bois, PA 15801-2449
Phone (814) 231-2101

Other names 1

  • Mount Nittany Physician Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mount Nittany Med Ctr HLTH4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1962292441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 REGENT CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017965",
            "telephone_number": "814-231-2101",
            "fax_number": "148-231-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 REGENT CT",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017965",
            "telephone_number": "814-231-2101",
            "fax_number": "814-231-8569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Beaver Dr Ste 211D",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158012449",
            "country_code": "US",
            "telephone_number": "814-231-2101",
            "fax_number": "814-231-8569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-887-4229"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Nittany Physician Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mount Nittany Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.