Dubois Regional Medical Group, Pc

LBN: Dubois Regional Medical Group, Pc
Dubois Regional Medical Group, Pc is an health care organization with primary practice located at 145 Hospital Ave Ste 104 , Du Bois PA 15801-1463. The organization recently has 13 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Dubois Regional Medical Group, Pc can be contacted via phone (814) 375-8055, or through Sutika, John S via phone (814) 375-3385.

Contact Information

Primary practice address
145 Hospital Ave Ste 104 Du Bois PA 15801-1463
Phone: (814) 375-8055
Fax: (814) 375-8056
Website:
Map and Directions
Authorized official contact:
Name: Sutika, John S
Phone: (814) 375-3385

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Pennsylvania
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X Pennsylvania
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X Pennsylvania
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1093956617
LBN Legal business name Dubois Regional Medical Group, Pc
DBA Doing business as
Authorized official Sutika, John S
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 11th, 2009
Last updated Oct 14th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093956617 NPPES
Pennsylvania Other 063246 PTAN
Pennsylvania MEDICAID 100751931 PTAN

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