Johnstown Heart and Vascular Center Inc.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

MD073567L Issued in PA

Legal business name

JOHNSTOWN HEART AND VASCULAR CENTER INC.

Practice address

1027 Broad St
Johnstown, PA 15906-2437

Phone

(814) 619-4587

Fax

(814) 254-4154

NPI assigned

Dec 3, 2012

Last updated

Sep 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samir Hadeed, M.D.NPI 1023045523

Title

President

Phone

(412) 260-6867

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samir A Hadeed, M.D.

  • Interventional Cardiology Physician
  • Johnstown, PA
  • NPI 1023045523

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD Authorized official
• Jude Arnold Mugerwa, MD

  • Cardiovascular Disease Physician
  • Johnstown, PA
  • NPI 1639112642
  Medicare reassignment Care Compare group NPD
• Wilman Bladimir Olmedo Calderon

  • Interventional Cardiology Physician
  • New Rochelle, NY
  • NPI 1457788796

  PA

  Medicare reassignment Care Compare group NPD
• Madeline Gdula, PA

  • Medical Physician Assistant
  • Johnstown, PA
  • NPI 1376132191
  Medicare reassignment Care Compare group
• Samantha Amanda Gould, PA-C

  • Physician Assistant
  • Johnstown, PA
  • NPI 1841936994
  Medicare reassignment Care Compare group
• Angela Beahr Worthing, PA-C

  • Medical Physician Assistant
  • Johnstown, PA
  • NPI 1649764853
  Medicare reassignment Care Compare group
• Linsay Angus, CRNP

  • Family Nurse Practitioner
  • Johnstown, PA
  • NPI 1770147415
  Medicare reassignment NPD
• Timothy Jon Bodenschatz, PA-C

  • Physician Assistant
  • Johnstown, PA
  • NPI 1194537324
  Medicare reassignment NPD
• Briana Dawn Voytek

  • Physician Assistant
  • Greensburg, PA
  • NPI 1326665027
  Medicare reassignment

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472774400000",
    "number": "1073858098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 BROAD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159062437",
            "telephone_number": "814-619-4587",
            "fax_number": "814-254-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 BROAD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159062437",
            "telephone_number": "814-619-4587",
            "fax_number": "814-254-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTOWN HEART AND VASCULAR CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2016-09-02",
        "status": "A",
        "authorized_official_last_name": "HADEED",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-260-6867",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD073567L",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD073567L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnstown Ambulatory Services PLLC
• Johnstown Cardiovascular Associates Inc (johnstown cardiovascular associates)
• Johnstown Family Vision & Hearing Inc
• Johnstown Foot Specialists
• Johnstown Free Medical Clinic (Highlands Health: Laurel Highlands Free & Charitable Medical Clinic)
• Johnstown Hospitalist Services PLLC
• Johnstown Internists, Inc.
• Johnstown Ops LLC (Richland Woods Assisted Living)
• Johnstown Pharmacy Inc (Johnstown Pharmacy)
• Ameenah Jones

• Interventional Cardiology Physician in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Interventional Cardiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.