WALWORTH MEDICAL ASSOCIATES
NPI 1104967074
Non-Pharmacy Dispensing Site in Greensburg, PA

Q: What is Walworth Medical Associates, P.C.'s NPI number?

The NPI number for Walworth Medical Associates, P.C. is 1104967074. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Walworth Medical Associates.

Q: What is Walworth Medical Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since February 12, 2007CLIA 39D2250714 · Waiver

1275 S MAIN ST, SUITE 102, GREENSBURG, PA 15601(724) 837-4000 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Walworth Medical Associates NPPES

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

WALWORTH MEDICAL ASSOCIATES (NPI 1104967074) is a healthcare organization registered as a non-pharmacy dispensing site in Greensburg, Pennsylvania and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1104967074

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameWALWORTH MEDICAL ASSOCIATES, P.C.

Location Address1275 S MAIN ST, SUITE 102Greensburg, PA 15601-5385

Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990

Phone(724) 837-4000

Organization SubpartYesParent: Medvantx, Inc.

Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990

Enumeration DateFebruary 12, 2007

Last NPPES UpdateOctober 16, 2012

✔ NPI 1104967074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in PA · MD055890L

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

1275 S MAIN ST, Greensburg, PA 15601

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Other Names 1

Doing Business AsWalworth Medical Associates

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2250714

Walworth Medical Associates · Greensburg, PA

Active · expires Jan 27, 2028

CLIA Number39D2250714

Laboratory TypePhysician Office

Certificate Effective DateJanuary 28, 2026

Certificate Expiration DateJanuary 27, 2028

Laboratory DirectorDr. Matthew A. Donofrio

Laboratory Phone(724) 837-4000

Laboratory LocationWalworth Medical Associates1275 S Main St, Suite 102, Greensburg, PA 15601

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Leave this field empty

Other Providers at the Same Location NPPES 18

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

ELLEN MCCARTHY

Counselor (Mental Health)

1275 S MAIN ST
GREENSBURG, PA 15601

Westmoreland County (724) 221-6394

DAYO NAVALGUND ASSOCIATES

Non-Pharmacy Dispensing Site

1275 S MAIN ST, SUITE 103
GREENSBURG, PA 15601

Westmoreland County (412) 561-7246

GREENSBURG THERAPEUTIC ASSOCIATES

Physical Therapist

1275 S MAIN ST, SUITE 2001
GREENSBURG, PA 15601

Westmoreland County (412) 298-8921

DR. MATTHEW D'ONOFRIO MD

Specialist

1275 S MAIN ST, SUITE 102
GREENSBURG, PA 15601

Westmoreland County (724) 837-4000

NANCY ELAINE GUMM PA-C

Physician Assistant

1275 S MAIN ST, SUITE 101
GREENSBURG, PA 15601

Westmoreland County (724) 837-3111

EDWARD A GUMM MD PC

Family Medicine

1275 S MAIN ST, SUITE 101
GREENSBURG, PA 15601

Westmoreland County (724) 837-3111

EXCELA HEALTH PHYSICIAN PRACTICES, INC.

Family Medicine

1275 S MAIN ST, STE 203
GREENSBURG, PA 15601

Westmoreland County (724) 838-0870

DR. MONICA J REESE PSYD

Counselor (Mental Health)

1275 S MAIN ST
GREENSBURG, PA 15601

Westmoreland County (724) 221-6394

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walworth Medical Associates, P.C.'s NPI number?

The NPI number for Walworth Medical Associates, P.C. is 1104967074. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Walworth Medical Associates.

Where is Walworth Medical Associates, P.C. located?

Walworth Medical Associates, P.C. is located at 1275 S Main St Suite 102, Greensburg, PA 15601. The listed phone number is (724) 837-4000.

What is Walworth Medical Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Walworth Medical Associates, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2250714) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Walworth Medical Associates, P.C. was last updated on October 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.