Organization Active NPI

Pediatric Healthcare Associates

  • Pediatrics Physician
  • Altoona, PA
National Provider Identifier
1114021334
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC HEALTHCARE ASSOCIATES
Practice address
615 6TH Avenue
Altoona, PA 16602-2621
Phone
(814) 944-7383
Fax
(814) 944-7608
NPI assigned
Sep 8, 2006
Last updated
Aug 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Authorized official

Name
Dr. Sathya Aswathappa, MDNPI 1851495071
Title
Physician
Phone
(814) 944-7383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

615 6TH Avenue
Altoona, PA 16602-2621

Mailing address

615 6TH Avenue
Altoona, PA 16602-2621
Phone (814) 944-7383

Other identifiers 1

IdentifierTypeStateIssuer
098395OtherPABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

615 6th Ave
Altoona, PA 16602
Phone (814) 944-7383

7664 Woodbury Pike
Roaring Spring, PA 16673

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1114021334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 6TH AVENUE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022621",
            "telephone_number": "814-944-7383",
            "fax_number": "814-944-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 6TH AVENUE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022621",
            "telephone_number": "814-944-7383",
            "fax_number": "814-944-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTHCARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "ASWATHAPPA",
        "authorized_official_first_name": "SATHYA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "814-944-7383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "098395",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.