NPIMap

Organization Active NPI

Windber Hospital, Inc.

Doing business as WindberCare Surgical Associates

  • Surgery Physician
  • Windber, PA
National Provider Identifier
1376543942
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WINDBER HOSPITAL, INC.
Doing business as
WindberCare Surgical Associates
Practice address
600 Somerset Ave
Windber, PA 15963-1331
Phone
(814) 467-3653
Fax
(814) 467-3655
NPI assigned
Jul 26, 2005
Last updated
Jun 10, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
WINDBER HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Tom Kurtz
Title
President / Ceo
Phone
(814) 467-3702

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD029007E PA
Surgery Physician 208600000X MD059296L PA
Surgery Physician 208600000X Primary

Addresses

Primary practice location

600 Somerset Ave
Windber, PA 15963-1331

Mailing address

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3653

Other identifiers 2

IdentifierTypeStateIssuer
1007703740030MedicaidPA
1634084OtherPABLUE CROSS

Other names 1

  • WindberCare Surgical Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071220000272 PA Part B Supplier - Clinic/Group Practice 9234187576 Receives reassigned benefits from 14 practitioners
Practice locations: Windber, PA

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Windber Hospital Inc

Locations

615 Howard Ave
Ste 209
Altoona, PA 16601

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regional Hospice at WindberWindber, PA, CCN 391541 Hospice Operational/Managerial Control (100%) Jul 1, 1990

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 18

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 18

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1376543942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SOMERSET AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631331",
            "telephone_number": "814-467-3653",
            "fax_number": "814-467-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOMERSET AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631331",
            "telephone_number": "814-467-3653",
            "fax_number": "814-467-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDBER HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINDBER HOSPITAL, INC.",
        "enumeration_date": "2005-07-26",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "814-467-3702"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD029007E",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD059296L",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007703740030",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1634084",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WindberCare Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windber, PA

Sources for this page

Verify at the official NPI Registry.