SEWICKLEY VALLEY MEDICAL GROUP - FIFTH AVENUE
NPI 1477694180
Non-Pharmacy Dispensing Site in Coraopolis, PA

Active since February 08, 2007
1101 5TH AVE, CORAOPOLIS, PA 15108(412) 269-0899 Get Directions Write a Review

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

About Sewickley Valley Medical Group - Fifth Avenue NPPES

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

SEWICKLEY VALLEY MEDICAL GROUP - FIFTH AVENUE (NPI 1477694180) is a healthcare organization registered as a non-pharmacy dispensing site in Coraopolis, Pennsylvania and active in the NPI registry since February 2007. The organization lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1477694180
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameSEWICKLEY VALLEY MEDICAL GROUP, INC.
Location Address1101 5TH AVECoraopolis, PA 15108-1577
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateFebruary 8, 2007
Last NPPES UpdateOctober 16, 2012
NPI 1477694180 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 · MD033170E
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.)
1101 5TH AVE, Coraopolis, PA 15108

Other Names 1

Doing Business AsSewickley Valley Medical Group - Fifth Avenue

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
1101 5TH AVE
CORAOPOLIS, PA 15108
Dentist (General Practice)
1101 5TH AVE
CORAOPOLIS, PA 15108
Nurse Practitioner (Primary Care)
1101 5TH AVE
CORAOPOLIS, PA 15108
Family Medicine
1101 5TH AVE, SUITE 202
CORAOPOLIS, PA 15108

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 Sewickley Valley Medical Group, Inc.'s NPI number?

The NPI number for Sewickley Valley Medical Group, Inc. is 1477694180. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is doing business as Sewickley Valley Medical Group - Fifth Avenue.

Where is Sewickley Valley Medical Group, Inc. located?

Sewickley Valley Medical Group, Inc. is located at 1101 5th Ave, Coraopolis, PA 15108. The listed phone number is (412) 269-0899.

What is Sewickley Valley Medical Group, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Sewickley Valley Medical Group, Inc. was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.