Provider Demographics
NPI:1619332970
Name:THE JOINT MEDICAL GROUP, P.C.
Entity Type:Organization
Organization Name:THE JOINT MEDICAL GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SESTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-468-6869
Mailing Address - Street 1:1275 S MAIN ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5385
Mailing Address - Country:US
Mailing Address - Phone:724-420-5410
Mailing Address - Fax:724-691-0918
Practice Address - Street 1:1275 S MAIN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5385
Practice Address - Country:US
Practice Address - Phone:724-420-5410
Practice Address - Fax:724-691-0918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009259111N00000X
PAMD040458E207Q00000X
PAMD022529E207Q00000X
PAMA050990363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty