David R Nevarre, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

MA002508L Issued in PA

Practice address

415 Napoleon PL
Johnstown, PA 15901-2504

Phone

(814) 536-9000

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Plastic Surgical Associates of Johnstown Inc

  • Plastic and Reconstructive Surgery Physician
  • Johnstown, PA
  • NPI 1285797654
  NPD (past)
• Plastic Surgical Associates of Johnstown Inc

  • Ambulatory Surgical Clinic/Center
  • Johnstown, PA
  • NPI 1942364716
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1043373483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NEVARRE ST",
            "city": "SUMMERHILL",
            "state": "PA",
            "postal_code": "159583308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NAPOLEON PL",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012504",
            "telephone_number": "814-536-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVARRE",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA002508L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmin Ann Nelson, CPHT
• Robert D Nelson, MD
• Stephanie Nelson, MS
• Lana Nicole Ness, MSN, CRNP, FNP-C
• Daniel R Nevarre, MD
• New Body Weight Loss Center LLC
• New Dimension Dentistry
• New Dimension Dentistry & Orthodontics PC
• New Dimensions Dentistry and Orthodontics, P.C.
• Nicholas J. Masciotra MD PC

• Surgical Physician Assistant in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Surgical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.