Active NPI
Daniel R Nevarre, MD
- Plastic and Reconstructive Surgery Physician
- Johnstown, PA
National Provider Identifier
1063575561
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Nov 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD060495L
- Practice address
- 415 Napoleon PL
Johnstown, PA 15901-2504 - Phone
- (814) 536-9000
- NPI assigned
- Dec 18, 2006
- Last updated
- Jul 10, 2007
- 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD060495L | PA | Primary |
Addresses
Primary practice location
415 Napoleon PL
Johnstown, PA 15901-2504
Mailing address
1083 Oakridge Dr
Johnstown, PA 15904-6800
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD060495L | PA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Plastic and Reconstructive Surgery Physician
- Johnstown, PA
- NPI 1285797654
-
- Durable Medical Equipment & Medical Supplies
- Johnstown, PA
- NPI 1508152752
-
- Anesthesiology Physician
- Johnstown, PA
- NPI 1639401698
-
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": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1063575561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1083 OAKRIDGE DR",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159046800"
},
{
"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": "DANIEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "PA",
"license": "MD060495L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
- Mary Elizabeth Neff, CCC-SLP
- Jazmin Ann Nelson, CPHT
- Robert D Nelson, MD
- Stephanie Nelson, MS
- Lana Nicole Ness, MSN, CRNP, FNP-C
- David R Nevarre, PA-C
- New Body Weight Loss Center LLC
- New Dimension Dentistry (Western Pennsylvania Dental Sleep Medicine)
- New Dimension Dentistry & Orthodontics PC (Western Pennsylvania Dental Sleep Medicine)
- New Dimensions Dentistry and Orthodontics, P.C.
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.