Mon-vale Primary Care Practices Inc | |
800 Plaza Dr Ste 290 Rostraver Township PA 15012-4019 | |
(724) 379-6850 | |
(678) 553-0330 |
Full Name | Mon-vale Primary Care Practices Inc |
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Speciality | Family Medicine |
Location | 800 Plaza Dr Ste 290, Rostraver Township, Pennsylvania |
Authorized Official Name and Position | Daniel Simmons (SECRETATY/TREASURER) |
Authorized Official Contact | 7242581106 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mon-vale Primary Care Practices Inc 1163 Country Club Road Monongahela PA 15063 Ph: (724) 258-1106 | Mon-vale Primary Care Practices Inc 800 Plaza Dr Ste 290 Rostraver Township PA 15012-4019 Ph: (724) 379-6850 |
NPI Number | 1669715843 |
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Provider Enumeration Date | 04/05/2013 |
Last Update Date | 01/28/2019 |
Medicare PECOS PAC ID | 4880837772 |
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Medicare Enrollment ID | O20130824000072 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669715843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Thomas M Sisk |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710985932 PECOS PAC ID: 0648209742 Enrollment ID: I20070803000483 |
Provider Name | Joanna R Swauger |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770580201 PECOS PAC ID: 1850484387 Enrollment ID: I20070829000639 |
Provider Name | John A Holets |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427051275 PECOS PAC ID: 2163589516 Enrollment ID: I20100629000381 |
Provider Name | Kenneth J Szekely |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467450254 PECOS PAC ID: 9739267212 Enrollment ID: I20101206000342 |
Provider Name | Samantha L Robinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235631870 PECOS PAC ID: 5294097622 Enrollment ID: I20180326000156 |
Provider Name | Shane P Hennessy |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1033520226 PECOS PAC ID: 6507182607 Enrollment ID: I20180712000530 |
Provider Name | Marissa M Boyles |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235773375 PECOS PAC ID: 3678909645 Enrollment ID: I20200211001308 |
Provider Name | Chelsy Damico |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437780715 PECOS PAC ID: 6204255441 Enrollment ID: I20201007001818 |
Provider Name | Paige Nicole Brannagan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225641483 PECOS PAC ID: 7517385446 Enrollment ID: I20210622003010 |
Provider Name | Samantha Louise Wulf |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710625850 PECOS PAC ID: 2860868270 Enrollment ID: I20221026000206 |
Provider Name | Krishna Parikh |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265040349 PECOS PAC ID: 1951758317 Enrollment ID: I20231107003666 |
Provider Name | Stephanie Okorie |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700415817 PECOS PAC ID: 9436501764 Enrollment ID: I20240122004531 |
Provider Name | Varun Dobariya |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093336802 PECOS PAC ID: 6406271089 Enrollment ID: I20240208003082 |
Provider Name | Victoria Gergely |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962055285 PECOS PAC ID: 4789028556 Enrollment ID: I20240220003139 |
Provider Name | Britany Gnus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780456624 PECOS PAC ID: 0648616581 Enrollment ID: I20240313002832 |