Western PA Eye Phys and Surgeons

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD019985E Issued in PA

Legal business name

WESTERN PA EYE PHYS AND SURGEONS

Practice address

380 Adams St
Rochester, PA 15074-2138

Phone

(724) 728-5000

Fax

(724) 728-3248

NPI assigned

Oct 24, 2005

Organization subpart

No

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

Authorized official

Name

Dr. George Raymond Zambelli Jr., MDNPI 1295915684

Title

Medical Doctor

Phone

(724) 728-5000

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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

• George Raymond Zambelli Jr., M.D.

  • Ophthalmology Physician
  • Rochester, PA
  • NPI 1295915684
  Medicare reassignment Care Compare group NPD Authorized official
• Alison M Zambelli, M.D.

  • Ophthalmology Physician
  • Rochester, PA
  • NPI 1962720334
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1063402808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 ADAMS ST",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150742138",
            "telephone_number": "724-728-5000",
            "fax_number": "724-728-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 ADAMS ST",
            "city": "ROCHESTER",
            "state": "PA",
            "postal_code": "150742138",
            "telephone_number": "724-728-5000",
            "fax_number": "724-728-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PA EYE PHYS AND SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "ZAMBELLI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "724-728-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD019985E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PABS",
            "identifier": "060837",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "206043",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5470440",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "E55440",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1503486",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007420720001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180000534",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "91740",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Polina Semenovna Vassilieva, MD
• Walgreen Co
• Kimberly A Walker
• Jodi Janette Weigand, MS, PT
• Andre Molando West, LSW
• Alison M Williams, LSW
• Eudora Patricia Williams
• Kimberly L Woodske, PT
• Leslie C. Yaccich
• Maria Yokopenic, MS, RD, CDCES

• Ophthalmology Physician in Rochester, PA
• Providers in Rochester, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.