Dubois Regional Medical Center - Penn Highlands Medical Arts Bldg Elk · Family Medicine Physician

761 Johnsonburg Rd, Saint Marys, PA 15857-3483

Overview

Dubois Regional Medical Center - Penn Highlands Medical Arts Bldg Elk is a Family Medicine Physician (organization) practicing in Saint Marys, Pennsylvania. The National Provider Identifier (NPI) is #1831574375, which was assigned on July 27, 2015, and the registration record was last updated on February 29, 2016. The practitioner's main practice location is at 761 Johnsonburg Rd, Saint Marys, PA 15857-3483; the contact telephone number is 8143712200, and the fax number is 8143754232. The primary taxonomy of Dubois Regional Medical Center - Penn Highlands Medical Arts Bldg Elk is Family Medicine Physician (207Q00000X). The authorized official for Dubois Regional Medical Center - Penn Highlands Medical Arts Bldg Elk is Brian S Kline (Vp/Cfo).

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Information

NPI 1831574375
Entity Type Organization
Organization Name DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS MEDICAL ARTS BLDG ELK
Provider Name DUBOIS REGIONAL MEDICAL CENTER - PENN HIGHLANDS MEDICAL ARTS BLDG ELK
Practice Address 761 Johnsonburg Rd
Saint Marys
PA 15857-3483
Practice Telephone 8143712200
Practice Fax Number 8143754232
Mailing Address 100 Hospital Ave
Du Bois
PA 15801-1440
Mailing Telephone 8143712200
Enumeration Date 2015-07-27
Last Update Date 2016-02-29
Is Organization Subpart Y
Parent Organization Legal Business Name PENN HIGHLANDS HEALTHCARE

Authorized Official Information

Official Name BRIAN S KLINE
Official Title VP/CFO
Telephone 8143756377

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N207X00000XOrthopaedic Surgery193200000X MULTI-SPECIALTY GROUP
N363A00000XPhysician Assistant193200000X MULTI-SPECIALTY GROUP
N363L00000XNurse Practitioner193200000X MULTI-SPECIALTY GROUP
N208600000XSurgery193200000X MULTI-SPECIALTY GROUP
N207R00000XInternal Medicine193200000X MULTI-SPECIALTY GROUP
N208000000XPediatrics193200000X MULTI-SPECIALTY GROUP
N207L00000XAnesthesiology193200000X MULTI-SPECIALTY GROUP
N207LP2900XAnesthesiologyPain Medicine193200000X MULTI-SPECIALTY GROUP
Y207Q00000XFamily Medicine193200000X MULTI-SPECIALTY GROUP

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
1007740880070PAMEDICAID

Other Provider Names

Other Organization NameType
Penn Highlands DuBoisDoing Business As Name

Taxonomy Information

Primary Taxonomy

Code 207Q00000X
Taxonomy Family Medicine Physician
Classification Family Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Other Taxonomy

Code 207X00000X
Taxonomy Orthopaedic Surgery Physician
Classification Orthopaedic Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Other Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Other Taxonomy

Code 363L00000X
Taxonomy Nurse Practitioner
Classification Nurse Practitioner
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Other Taxonomy

Code 208600000X
Taxonomy Surgery Physician
Classification Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Other Taxonomy

Code 207R00000X
Taxonomy Internal Medicine Physician
Classification Internal Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Other Taxonomy

Code 208000000X
Taxonomy Pediatrics Physician
Classification Pediatrics
Grouping Allopathic & Osteopathic Physicians
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Other Taxonomy

Code 207L00000X
Taxonomy Anesthesiology Physician
Classification Anesthesiology
Grouping Allopathic & Osteopathic Physicians
Definition: An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Other Taxonomy

Code 207LP2900X
Taxonomy Pain Medicine (Anesthesiology) Physician
Classification Anesthesiology
Specialization Pain Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

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Location Information

Street Address 761 JOHNSONBURG RD
City SAINT MARYS
State PA
Zip Code 15857-3483
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Elk Regional Professional Group, Inc 761 Johnsonburg Rd, Suite 310, St Marys, PA 15857-3483Physical Therapist2005-10-03
Makkalon Em 761 Johnsonburg Rd Ste 240, Saint Marys, PA 15857-3480Surgery Physician2009-04-13

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Elk Regional Health Center 763 Johnsonburg Rd Ste 100, Saint Marys, PA 15857-3400Pharmacy2025-04-09
Penn Highlands Home Medical Equipment LLC 1376 Bucktail Rd, Saint Marys, PA 15857-3212Parenteral & Enteral Nutrition Supplies (DME)2008-05-12
Leah Marie Chamberlin 427 N Saint Marys St, Saint Marys, PA 15857-3657Professional Counselor2025-05-10
Elk Regional Professional Group, Inc 177 Washington St, St Marys, PA 15857-1349Physician Assistant2005-09-30
Erica Lee Costanzo 763 Johnsonburg Rd, Saint Marys, PA 15857-3417Pharmacist2014-06-16
Dubois Regional Medical Center 765 Johnsonburg Rd, Saint Marys, PA 15857-3417Oxygen Equipment & Supplies (DME)2005-09-09
Sophia Smithbauer · Sophia Yanak 1100 Million Dollar Hwy, Saint Marys, PA 15857-2728Family Medicine Physician2022-03-20
Wal-Mart Stores East Lp 1102 Million Dollar Hwy, Saint Marys, PA 15857-2728Durable Medical Equipment & Medical Supplies2006-07-16
Andrea Marie Kaveney 173 Anne Rd, Saint Marys, PA 15857-2049Case Manager/Care Coordinator2025-11-15
Kayla Bobenrieth 763 Johnsonburg Rd Ste 100, Saint Marys, PA 15857-3400Pharmacist2022-10-17
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.