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Contact Information

HEATHER MOURTACOS, DO
631 N BROAD STREET EXT
GROVE CITY, PA16127-4603
 Phone: 724-450-7150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Addiction Medicine

207LA0401X 05 Physician/Anesthesiology
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for HEATHER MOURTACOS · (Female)

NPI Number 1063621290
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/22/2007
Last updated 08/22/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OH License # 34.012768CTR
  • PA License # OS013888
Hospital affiliation(s)
  • GROVE CITY MEDICAL CENTER - (Acute Care)
    631 NORTH BROAD STREET EXT.
    GROVE CITY, PA 16127
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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