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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: July 19, 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.

DR. YONG DAE CHO M.D.
Family Medicine
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
DR. RONALD ANTHONY SEBASTIAN D.D.S.
Dentist (General Practice)
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MR. GARY JOHN SHUTTLEWORTH
Physical Therapist
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MR. JAMES MICHAEL ZUCHOWSKI
Pharmacist
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
DR. PUSHKALAI R. PILLAI M.D.
Psychiatry & Neurology (Psychiatry)
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-3801
MRS. PEGGY LYNN HEFFNER LSW
Social Worker
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
MISS GAIL W MASON MSW/LSW
Social Worker
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801
CENTERVILLE CLINICS, INC.
Family Medicine
1070 OLD NATIONAL PIKE
FREDERICKTOWN, PA 15333
Washington County (724) 632-6801

Frequently Asked Questions

What is CENTERVILLE CLINICS, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1639150105, enumerated as an "organization" on November 10, 2005.

Where is the provider located?

The provider is located at 1070 OLD NATIONAL PIKE FREDERICKTOWN, PA 15333 and the phone number is (724) 632-6801.

What is the provider's specialty?

Obstetrics & Gynecology with taxonomy code 207VG0400X and a focus in Gynecology.

What insurance does CENTERVILLE CLINICS, INC. accept?

The provider might be accepting Accepts: Highmark Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.