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CENTERVILLE CLINICS, INC.
NPI 1639150105
Obstetrics & Gynecology - Gynecology in Fredericktown, PA

Active since November 10, 2005
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333(724) 632-6801(724) 632-6312 Get Directions Write a Review

NPPES record last updated: June 14, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Centerville Clinics, Inc. NPPES

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

CENTERVILLE CLINICS, INC. (NPI 1639150105) is a healthcare organization registered as a gynecology in Fredericktown, Pennsylvania and active in the NPI registry since November 2005. The organization lists Patricia Martos, Director, Finance/personnel, as its authorized official.

NPPES Registry Identity

NPI1639150105
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameCENTERVILLE CLINICS, INC.
Location Address1070 OLD NATIONAL PIKEFredericktown, PA 15333-2114
Mailing Address1070 Old National PikeFredericktown, PA 15333-2114 · (724) 632-6801 · Fax (724) 632-6312
Phone(724) 632-6801
Fax(724) 632-6312
Organization SubpartNo
Authorized OfficialPatricia MartosDirector, Finance/personnel · (724) 632-6801
Enumeration DateNovember 10, 2005
Last NPPES UpdateJune 14, 2010
✔ NPI 1639150105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1070 OLD NATIONAL PIKE, Fredericktown, PA 15333
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Other Identifiers 4

Other031216PA · Highmark
Medicaid1007288440027PA
Medicare OSCAR/certification031216PA
Other031216PA · Hgsa - Medicare

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 20

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

ALEXANDRIA MARIE BAKOS CRNP
Nurse Practitioner
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
DR. YONG DAE CHO M.D.
Family Medicine
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MRS. LUCARRIA POPIELARCHECK L.P.N A.C.M.
Specialist
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
CENTERVILLE CLINICS, INC PEER SUPPORT
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MISS VICKI L MURRAY
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
SHELBY DUKE
Counselor
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MRS. CECILIA L KNUTSEN
Specialist/Technologist, Other
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
JAMES WHISNER
Social Worker (Clinical)
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801

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 Centerville Clinics, Inc.'s NPI number?

The NPI number for Centerville Clinics, Inc. is 1639150105. It was assigned to this organization in the NPPES registry on November 10, 2005.

Where is Centerville Clinics, Inc. located?

Centerville Clinics, Inc. is located at 1070 Old National Pike, Fredericktown, PA 15333. The listed phone number is (724) 632-6801.

What is Centerville Clinics, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Centerville Clinics, Inc. was last updated on June 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.