Organization Active NPI

Laurel Pediatric Associates Inc

  • Pediatrics Physician
  • Johnstown, PA
National Provider Identifier
1003866716
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
LAUREL PEDIATRIC ASSOCIATES INC
Practice address
323 Budfield Street
Johnstown, PA 15904-3219
Phone
(814) 262-9500
Fax
(814) 262-7303
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Johnnie Wilson Barto, MD
Title
Ceo Owner
Phone
(814) 262-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

323 Budfield Street
Johnstown, PA 15904-3219

Mailing address

323 Budfield Street
Johnstown, PA 15904-3219
Phone (814) 262-9500

Other identifiers 2

IdentifierTypeStateIssuer
000849373OtherPAHIGHMARK GROUP PROV. NUMB
0018019370001MedicaidPA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0976649Laurel Pediatric Assoc Inc323 Budfield Street, Johnstown, PA 15904Certificate of waiverAug 9, 2026

National Provider Directory

National Provider Directory

Locations

323 Budfield St
Johnstown, PA 15904
Phone (814) 262-9500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1003866716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BUDFIELD STREET",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043219",
            "telephone_number": "814-262-9500",
            "fax_number": "814-262-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BUDFIELD STREET",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043219",
            "telephone_number": "814-262-9500",
            "fax_number": "814-262-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL PEDIATRIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BARTO",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "814-262-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP PROV. NUMB",
            "identifier": "000849373",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018019370001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.