Plastic Surgical Associates of Johnstown Inc

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

PLASTIC SURGICAL ASSOCIATES OF JOHNSTOWN INC

Practice address

415 Napoleon PL
Johnstown, PA 15901-2504

Phone

(814) 536-9000

Fax

(814) 536-8999

NPI assigned

Dec 18, 2006

Last updated

Feb 22, 2012By 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

Dr. Daniel R Nevarre, MDNPI 1063575561

Title

Director/Ceo

Phone

(814) 536-9000

Specialties & licenses 2

Addresses

Other identifiers 4

Practitioners 3

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.

• Daniel R Nevarre, MD

  • Plastic and Reconstructive Surgery Physician
  • Johnstown, PA
  • NPI 1063575561
  Authorized official Same address or phone
• David R Nevarre, PA-C

  • Surgical Physician Assistant
  • Johnstown, PA
  • NPI 1043373483
  NPD (past)
• Justine Marie Roberts, PA-C

  • Physician Assistant
  • Murrysville, PA
  • NPI 1609002880
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1285797654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 NAPOLEON PL",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012504",
            "telephone_number": "814-536-9000",
            "fax_number": "814-536-8999"
        },
        {
            "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",
            "fax_number": "814-536-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGICAL ASSOCIATES OF JOHNSTOWN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "NEVARRE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "814-536-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "032123",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABORATORY STATE LICENSE NUMBER",
            "identifier": "032123",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006508380002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP NUMBER",
            "identifier": "012931",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "39D2029791",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah M Piscatello, CRNP
• Natasha Rae Pittman, MA
• Erin Elizabeth Pituch, B.S, MSW-INTERN
• Sharon Marie Plank, M.D.
• Planned Parenthood of Western Pennsylvania, Inc (Planned Parenthood of Western PA Johnstown)
• Plastic Surgical Associates of Johnstown Inc
• Plastic Surgical Associates of Johnstown, Inc
• Plastic Surgical Associates of Johnstown, Inc
• Platinum Nutrition Counseling
• Natasha Pletcher, PHARMD

• Plastic and Reconstructive Surgery Physician in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Plastic and Reconstructive Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.