|
| |
|
1106 Ohio River Blvd # 602 Sewickley PA 15143-2048 | |
| (419) 819-0488 | |
| (412) 202-5375 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1106 Ohio River Blvd, Sewickley, Pennsylvania |
| Authorized Official Name and Position | Stacey Y Royal (OWNER) |
| Authorized Official Contact | 4198190488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4017 Washington Rd # 2000 Mc Murray PA 15317-2520 Ph: (412) 202-5375 | 1106 Ohio River Blvd # 602 Sewickley PA 15143-2048 Ph: (419) 819-0488 |
| NPI Number | 1326024936 |
|---|---|
| Provider Enumeration Date | 12/16/2005 |
| Last Update Date | 07/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326024936 | NPI | - | NPPES |
| 1022563590001 | Medicaid | PA | |
| 2268139 | Medicaid | OH | |
| 1022588090001 | Medicaid | PA | |
| 2750876 | Medicaid | OH |
Richard C. Hogan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Ohio River Blvd Ste 306, Sewickley, PA 15143 Phone: 412-584-1324 | |
Heritage Valley Multispecialty Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hazel Ln Ste 100, Sewickley, PA 15143 Phone: 412-749-4240 Fax: 412-749-6822 | |
Katherine C. Ke, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1106 Ohio River Blvd, Suite 604a, Sewickley, PA 15143 Phone: 412-741-6162 | |