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CENTERVILLE CLINICS INC.
NPI 1912988452
Urology in Fredericktown, PA

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

NPPES record last updated: April 17, 2008. 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 1912988452) is a healthcare organization registered as an urology in Fredericktown, Pennsylvania and active in the NPI registry since November 2005. The organization lists Patricia Martos, Director Personnel/finance, as its authorized official.

NPPES Registry Identity

NPI1912988452
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameCENTERVILLE CLINICS INC.
Location Address1070 OLD NATIONAL PIKEFredericktown, PA 15333-2114
Mailing Address1070 Old National PikeFredericktown, PA 15333-2114 · (724) 632-6801
Phone(724) 632-6801
Organization SubpartNo
Authorized OfficialPatricia MartosDirector Personnel/finance · (724) 632-6801
Enumeration DateNovember 10, 2005
Last NPPES UpdateApril 17, 2008
✔ NPI 1912988452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1070 OLD NATIONAL PIKE, Fredericktown, PA 15333
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Other Identifiers 3

Medicare OSCAR/certification031221PA
Medicaid1007288440027PA
Other031221PA · 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 1912988452. 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 Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Centerville Clinics Inc. was last updated on April 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.