NPIMap

Organization Active NPI

Lovely Foot Associates PC

  • Podiatrist
  • Johnstown, PA
National Provider Identifier
1346395258
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC004705L Issued in PA
Legal business name
LOVELY FOOT ASSOCIATES PC
Practice address
1454 Scalp Ave
Suite 1
Johnstown, PA 15904-3321
Phone
(814) 266-6164
Fax
(814) 269-2306
NPI assigned
Jan 24, 2007
Last updated
Sep 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Dr. Weldon R LovelyNPI 1619931243
Title
Pres Ceo
Phone
(814) 266-6164

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X SC003125L PA
PodiatristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 213E00000X SC004705L PA Primary

Addresses

Primary practice location

1454 Scalp Ave
Suite 1
Johnstown, PA 15904-3321

Mailing address

1454 Scalp Ave
Suite 1
Johnstown, PA 15904-3321
Phone (814) 266-6164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041116000109 PA Part B Supplier - Clinic/Group Practice 4688638042 Receives reassigned benefits from 2 practitioners
Practice locations: Johnstown, PA

National Provider Directory

National Provider Directory

Locations

1454 Scalp Ave
#1
Johnstown, PA 15904
Phone (814) 266-6164

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12335/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1346395258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 SCALP AVE",
            "address_2": "SUITE 1",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043321",
            "telephone_number": "814-266-6164",
            "fax_number": "814-269-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 SCALP AVE",
            "address_2": "SUITE 1",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043321",
            "telephone_number": "814-266-6164",
            "fax_number": "814-269-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELY FOOT ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "LOVELY",
        "authorized_official_first_name": "WELDON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRES CEO",
        "authorized_official_telephone_number": "814-266-6164",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003125L",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004705L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.