Active NPI
D & P Medical Group LLC
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Kittanning, PA
National Provider Identifier
1972959153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- OS015400
- Legal business name
- D & P MEDICAL GROUP LLC
- Practice address
- 316 1St Ave Ste 200
Kittanning, PA 16201-2267 - Phone
- (412) 655-4362
- NPI assigned
- May 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bryan Doner, D.O.
- Title
- Ceo
- Phone
- (412) 496-6365
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | OS015400 | PA | Primary |
Addresses
Primary practice location
316 1St Ave Ste 200
Kittanning, PA 16201-2267
Mailing address
PO Box 791
Carnegie, PA 15106-0791
Phone (412) 655-4362
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031380280007 | Medicaid | PA | |
| OS015499 | Other | PA | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
603 Stanwix St
Ste 1312
Pittsburgh, PA 15222
Phone (724) 543-8536
9000 Perry Hwy
Ste 203
Pittsburgh, PA 15237
Phone (412) 998-9004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632441600000",
"number": "1972959153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791",
"city": "CARNEGIE",
"state": "PA",
"postal_code": "151060791",
"telephone_number": "412-655-4362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 1ST AVE STE 200",
"city": "KITTANNING",
"state": "PA",
"postal_code": "162012267",
"telephone_number": "412-655-4362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D & P MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-06",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A",
"authorized_official_last_name": "DONER",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "412-496-6365",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207PE0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "PA",
"license": "OS015400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1031380280007",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "OS015499",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kittanning, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.