Active NPI
Alexander G Paterson, MD
- Family Medicine Physician
- Jennerstown, PA
National Provider Identifier
1053317412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD018560E
- Practice address
- 1611 Pitt Street
Route 30
Jennerstown, PA 15547 - Phone
- (814) 629-5647
- Fax
- (814) 629-5273
- NPI assigned
- Jun 21, 2005
- Last updated
- May 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD018560E | PA | Primary |
Addresses
Primary practice location
1611 Pitt Street
Route 30
Jennerstown, PA 15547
Mailing address
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 410-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Conemaugh Health Initiatives | Family Medicine | Past | Accepting new patients |
| Conemaugh Health Initiatives | Family Medicine | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- New Paris, PA
- NPI 1487724597
-
dba Conemaugh Physician Group - Jennerstown
- Family Medicine Physician
- Jennerstown, PA
- NPI 1659481760
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1053317412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 FRANKLIN ST",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159054305",
"telephone_number": "814-410-8300",
"fax_number": "814-410-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 PITT STREET",
"address_2": "ROUTE 30",
"city": "JENNERSTOWN",
"state": "PA",
"postal_code": "15547",
"telephone_number": "814-629-5647",
"fax_number": "814-629-5273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATERSON",
"first_name": "ALEXANDER",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD018560E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jennerstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.