| |
1 Nolte Dr Kittanning PA 16201-7111 | |
(724) 543-8524 | |
(724) 543-8616 |
Full Name | |
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Speciality | General Acute Care Hospital |
Location | 1 Nolte Dr, Kittanning, Pennsylvania |
Authorized Official Name and Position | Matthew Kociola (CFO) |
Authorized Official Contact | 7245438500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1 Nolte Dr Kittanning PA 16201-7111 Ph: (724) 543-8500 | 1 Nolte Dr Kittanning PA 16201-7111 Ph: (724) 543-8524 |
NPI Number | 1568577724 |
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Provider Enumeration Date | 08/20/2006 |
Last Update Date | 08/29/2024 |
Medicare PECOS PAC ID | 9335051663 |
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Medicare Enrollment ID | O20031104000468 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568577724 | NPI | - | NPPES |
030031100 | Other | PA | BLACK LUNG |
1007459070002 | Medicaid | PA | |
103575 | Other | PA | UPMC |
0042137 | Other | PA | UMWA |
1009654 | Other | PA | GATEWAY |
000000060223 | Other | PA | UNISON |
0044 | Other | BLUE CROSS | |
390163 | Other | PA | HEALTHAMERICA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 270901 (Pennsylvania) | Secondary |
282N00000X | General Acute Care Hospital | 270901 (Pennsylvania) | Primary |
Provider Name | Thomas R Litz |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033181516 PECOS PAC ID: 2163321449 Enrollment ID: I20040106000326 |
Provider Name | Craig G Viti |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1912973256 PECOS PAC ID: 0840282810 Enrollment ID: I20040331000557 |
Provider Name | Mitchell J Patti |
---|---|
Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1144295304 PECOS PAC ID: 0547252561 Enrollment ID: I20040331000841 |
Provider Name | Curt P Conry |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1386628360 PECOS PAC ID: 1254316482 Enrollment ID: I20040622000956 |
Provider Name | Joseph A Cippel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801930896 PECOS PAC ID: 0143206441 Enrollment ID: I20040628000499 |
Provider Name | Donald F Ehrenberger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942207089 PECOS PAC ID: 1153392790 Enrollment ID: I20040805000542 |
Provider Name | Geri L Bacu |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1376582700 PECOS PAC ID: 7517935489 Enrollment ID: I20040918000100 |
Provider Name | Adam S Akers |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770554123 PECOS PAC ID: 1254382575 Enrollment ID: I20050203000755 |
Provider Name | Michael P Ondich |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871587394 PECOS PAC ID: 6103852330 Enrollment ID: I20050711000537 |
Provider Name | Chad R Shaffer |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215014501 PECOS PAC ID: 8022048479 Enrollment ID: I20050816000756 |
Provider Name | Roderick B Groomes |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1114985009 PECOS PAC ID: 0941263701 Enrollment ID: I20060413000408 |
Provider Name | Michelle D Keibler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063663854 PECOS PAC ID: 1254490295 Enrollment ID: I20081106000149 |
Provider Name | Mushtaq A Syed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649230855 PECOS PAC ID: 4183676166 Enrollment ID: I20081111000246 |
Provider Name | Higinio Lopez |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427130640 PECOS PAC ID: 5597825737 Enrollment ID: I20081118000765 |
Provider Name | Edward E Balestrino |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134102627 PECOS PAC ID: 6305038787 Enrollment ID: I20101004000693 |
Provider Name | Richard A Mercurio |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477623494 PECOS PAC ID: 6709071558 Enrollment ID: I20101108000067 |
Provider Name | Jon R Belasco |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306151352 PECOS PAC ID: 6507044666 Enrollment ID: I20110621000287 |
Provider Name | Ricky Clay |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1558656298 PECOS PAC ID: 0648428334 Enrollment ID: I20120921000656 |
Provider Name | Claude We Zeifman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1962423004 PECOS PAC ID: 5698738441 Enrollment ID: I20130716000149 |
Provider Name | Valerie A Lager |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386981793 PECOS PAC ID: 4981844826 Enrollment ID: I20130717000350 |
Provider Name | Joshua A Brice |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396055018 PECOS PAC ID: 2769401348 Enrollment ID: I20130730000483 |
Provider Name | Sergio J Murillo |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1821316456 PECOS PAC ID: 5597907501 Enrollment ID: I20130803000166 |
Provider Name | Kelly Ann Zbanic |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1275703209 PECOS PAC ID: 4183843931 Enrollment ID: I20140910001096 |
Provider Name | Beth A Papas |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1982970133 PECOS PAC ID: 2062725393 Enrollment ID: I20150716000234 |
Provider Name | Neel B Shah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912162819 PECOS PAC ID: 6103971379 Enrollment ID: I20150720001686 |
Provider Name | Jennifer Alloo Hong |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467743690 PECOS PAC ID: 0941432595 Enrollment ID: I20150901002846 |
Provider Name | Erin S Saxion |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528443959 PECOS PAC ID: 1355651449 Enrollment ID: I20151102000594 |
Provider Name | Tony J Castillo |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1437380862 PECOS PAC ID: 1557510823 Enrollment ID: I20160217000214 |
Provider Name | Christian O Perez |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1881985695 PECOS PAC ID: 5193027704 Enrollment ID: I20161021000577 |
Provider Name | Lindsey M Stewart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013463249 PECOS PAC ID: 5698054005 Enrollment ID: I20161107002519 |
Provider Name | Susan C Townsend |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1053731083 PECOS PAC ID: 8527356906 Enrollment ID: I20170919003881 |
Provider Name | Sowmya Nanjappa |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1942565403 PECOS PAC ID: 4981825379 Enrollment ID: I20180618001499 |
Provider Name | Sui Kwong Li |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1689011504 PECOS PAC ID: 1557657871 Enrollment ID: I20181022001822 |
Provider Name | Kerri M Caldwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992273353 PECOS PAC ID: 3072858299 Enrollment ID: I20181217001819 |
Provider Name | Nupur Gupta |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1417375940 PECOS PAC ID: 8729379938 Enrollment ID: I20190429002709 |
Provider Name | Sagnik Adhikari |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1285044131 PECOS PAC ID: 5294001145 Enrollment ID: I20191108001954 |
Provider Name | Christopher Baker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558904946 PECOS PAC ID: 3274967401 Enrollment ID: I20191223000310 |
Provider Name | Julia Zefirova |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346472933 PECOS PAC ID: 0840455424 Enrollment ID: I20200707000030 |
Provider Name | Rabea Khedimi |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1891043519 PECOS PAC ID: 4880900778 Enrollment ID: I20220708003563 |
Provider Name | Jessica Peffer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467187757 PECOS PAC ID: 7012386683 Enrollment ID: I20221205000934 |
Provider Name | Taylor Jane Ferguson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164109153 PECOS PAC ID: 4183086648 Enrollment ID: I20230815002618 |
Provider Name | Kenzie Lyn Oberdorf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285311811 PECOS PAC ID: 1850754409 Enrollment ID: I20230829003974 |
Provider Name | Alexa Stephanie Jordahl |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1386223709 PECOS PAC ID: 2062811441 Enrollment ID: I20240626000171 |
Provider Name | Tiffany Iva Cashdollar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992562151 PECOS PAC ID: 1557806155 Enrollment ID: I20240708002596 |
Provider Name | Betheny Ann Dunn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902642028 PECOS PAC ID: 8224569405 Enrollment ID: I20240927002711 |
Richard A. Mercurio Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 198 Westgate Drive, Suite 101a, Kittanning, PA 16201 Phone: 724-543-1735 | |
Frederick B Doerfler Jr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 S Jefferson St, Kittanning, PA 16201 Phone: 724-545-1288 Fax: 724-545-7615 | |