NPIMap

Organization Active NPI

Cardiology Associates of Altoona, LLP

  • Cardiovascular Disease Physician
  • Altoona, PA
National Provider Identifier
1386688299
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD038504E Issued in PA
Legal business name
CARDIOLOGY ASSOCIATES OF ALTOONA, LLP
Practice address
1321 11TH Ave
Altoona, PA 16601-3301
Phone
(814) 942-2411
Fax
(814) 942-0510
NPI assigned
Jun 15, 2006
Last updated
Sep 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Dr. Joseph W Gattuso Jr., M.D.NPI 1356347033
Title
Partner
Phone
(814) 942-2411

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD053122L PA
Cardiovascular Disease Physician 207RC0000X MD059785L PA
Cardiovascular Disease Physician 207RC0000X MD038504E PA Primary
Nuclear Cardiology Physician 207UN0901X MD059785L PA

Addresses

Primary practice location

1321 11TH Ave
Altoona, PA 16601-3301

Mailing address

1321 11TH Ave
Altoona, PA 16601-3301
Phone (814) 942-2411

Other identifiers 4

IdentifierTypeStateIssuer
54485OtherPABCBS
1007536040005MedicaidPA
CJ2422OtherPAPALMETTO GBA
1020383OtherPAGATEWAY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090422000053 PA Part B Supplier - Clinic/Group Practice 0042367476 Receives reassigned benefits from 28 practitioners
Practice locations: Altoona, PA; Everett, PA; Johnstown, PA; Tyrone, PA

National Provider Directory

National Provider Directory
Tax ID family
Cardiology Associates of Altoona LLP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125 Willow Grove Dr
Everett, PA 15537
Phone (814) 624-2497

308 Washington Ave
Tyrone, PA 16686
Phone (814) 942-2411

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1386688299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 11TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013301",
            "telephone_number": "814-942-2411",
            "fax_number": "814-942-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 11TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013301",
            "telephone_number": "814-942-2411",
            "fax_number": "814-942-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY ASSOCIATES OF ALTOONA, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "GATTUSO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "814-942-2411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD053122L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD059785L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD038504E",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "PA",
            "license": "MD059785L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54485",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007536040005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "CJ2422",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1020383",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.