McKinley OB/GYN Associates PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

MD019054E Issued in PA

Legal business name

MCKINLEY OB/GYN ASSOCIATES PC

Doing business as

McKinley Ob/Gyn Associates PC Lab

Practice address

1481 Eisenhower Blvd
Johnstown, PA 15904-3217

Phone

(814) 262-7470

Fax

(814) 262-7472

NPI assigned

Nov 1, 2007

Organization subpart

No

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

Authorized official

Name

Richard McKinley, MD

Title

President

Phone

(814) 262-7470

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• McKinley Ob/Gyn Associates PC Lab Doing business as

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1245419795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-410-8300",
            "fax_number": "814-410-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 EISENHOWER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043217",
            "telephone_number": "814-262-7470",
            "fax_number": "814-262-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINLEY OB/GYN ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-262-7470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "MD019054E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015065000002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKinley Ob/Gyn Associates PC Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa McHugh, MS
• Angela M McKendree
• James Edward McKendree Jr., MD
• Lindsey McKenry
• D'Shae McKenzie, MD
• Richard G McKinley, MD
• McKolosky Chiropractic
• McKolosky Chiropractic, P.C.
• Dennis G McKolosky, DC
• Nicholas McKolosky, D.C.

• Clinical Medical Laboratory in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.