Centerville Clinics , Inc.
Centerville Clinics , Inc. is a healthcare organization registered as Physical Medicine & Rehabilitation Physician in Fredericktown, PA, holding Type 2 (organization) NPI 1336167154 since 2006. The authorized official on file is Patricia Martos, Director Finance/Personnel.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1336167154 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Centerville Clinics , Inc. |
| Practice address | 1070 OLD NATIONAL PIKE, Fredericktown, PA, 15333 |
| Phone | 7246326801 |
| Fax | 7246326312 |
| Enumeration date | 2006-07-18 |
| Last updated in NPPES | 2010-06-11 |
Authorized official
| Name | Patricia Martos |
|---|---|
| Title | Director Finance/Personnel |
| Phone | 7246326801 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology Physician | Secondary | — | — |
| 207N00000X | Dermatology Physician | Secondary | — | — |
| 207RP1001X | Pulmonary Disease Physician | Secondary | — | — |
| 207Y00000X | Otolaryngology Physician | Secondary | — | — |
| 207RG0100X | Gastroenterology Physician | Secondary | OS003143L | PA |
| 2084P0800X | Psychiatry Physician | Secondary | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007288440027 | Medicaid | PA | — |
| 039196 | Other | PA | HIGHMARK |
Copy-ready billing details
Provider: Centerville Clinics , Inc. NPI: 1336167154 Taxonomy: 208100000X (Physical Medicine & Rehabilitation Physician) Address: 1070 OLD NATIONAL PIKE, Fredericktown, PA, 15333
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1023009198 | Yong Cho | Individual | Family Medicine Physician | Fredericktown, PA |
| 1710978416 | Ronald Sebastian | Individual | General Practice Dentistry | Fredericktown, PA |
| 1184615940 | Gary Shuttleworth | Individual | Physical Therapist | Fredericktown, PA |
| 1891786398 | James Zuchowski | Individual | Pharmacist | Fredericktown, PA |
| 1255322517 | Pushkalai Pillai | Individual | Psychiatry Physician | Fredericktown, PA |
| 1437140654 | Peggy Heffner | Individual | Social Worker | Fredericktown, PA |
| 1497736516 | Gail Mason | Individual | Social Worker | Fredericktown, PA |
| 1801877048 | Centerville Clinics, Inc. | Organization | Family Medicine Physician | Fredericktown, PA |
Verify this record
Cross-check NPI 1336167154 against the authoritative CMS record: view Centerville Clinics , Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Centerville Clinics , Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-06-11.