NITTANY VALLEY MEDICAL ASSOCIATES P.C.
NPI 1083601249
Specialist in State College, PA

Q: What is Nittany Valley Medical Associates P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 03, 2005

2134 SANDY DR STE 16, STATE COLLEGE, PA 16803(814) 272-5805(814) 272-0110 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2019, Nov 15, 2016 (2 updates tracked since 2016).

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About Nittany Valley Medical Associates P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NITTANY VALLEY MEDICAL ASSOCIATES P.C. (NPI 1083601249) is a healthcare organization registered as a specialist in State College, Pennsylvania and active in the NPI registry since October 2005. The organization lists Eileen Clarke, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1083601249

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameNITTANY VALLEY MEDICAL ASSOCIATES P.C.

Location Address2134 SANDY DR STE 16State College, PA 16803-2292

Mailing Address2134 Sandy Dr Ste 16State College, PA 16803-2292 · (814) 272-5805 · Fax (814) 272-0110

Phone(814) 272-5805

Fax(814) 272-0110

Organization SubpartNo

Authorized OfficialEileen ClarkePractice Manager · (814) 359-6866

Enumeration DateOctober 3, 2005

Last NPPES UpdateOctober 28, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2021

✔ NPI 1083601249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2134 SANDY DR STE 16, State College, PA 16803

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Other Identifiers 5

OtherCJ9571PA · Railroad Medicare

Other1409586PA · Highmark Bs

Other50000799PA · Capital Bc/bs

Other104HPA · Geisinger

Medicaid0019162000001PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL ANDREW KOBERNA MD

Internal Medicine