Organization Active NPI

D & P Medical Group LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Kittanning, PA
National Provider Identifier
1972959153
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
OS015400 Issued in PA
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

Updated by the provider on Sep 24, 2021

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)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1031380280007MedicaidPA
OS015499OtherPASTATE LICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.