NPIMap

Organization Active NPI

Justin J Sheba DO PC

  • Orthopaedic Surgery Physician
  • Uniontown, PA
National Provider Identifier
1225164684
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS012554 Issued in PA
Legal business name
JUSTIN J SHEBA DO PC
Practice address
150 Wayland Smith Drive
Suite a
Uniontown, PA 15401
Phone
(724) 437-8200
Fax
(724) 437-6673
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tammy Samples
Title
Assistant Manager
Phone
(724) 437-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X OS012554 PA Primary

Addresses

Primary practice location

150 Wayland Smith Drive
Suite a
Uniontown, PA 15401

Mailing address

150 Wayland Smith Drive
Suite a
Uniontown, PA 15401
Phone (724) 437-8200

Other identifiers 1

IdentifierTypeStateIssuer
OS012554OtherPALICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225164684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 WAYLAND SMITH DRIVE",
            "address_2": "SUITE A",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "15401",
            "telephone_number": "724-437-8200",
            "fax_number": "724-437-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WAYLAND SMITH DRIVE",
            "address_2": "SUITE A",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "15401",
            "telephone_number": "724-437-8200",
            "fax_number": "724-437-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN J SHEBA DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMPLES",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "ASSISTANT MANAGER",
        "authorized_official_telephone_number": "724-437-8200"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS012554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OS012554",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.