Organization Active NPI

Surgical Associates of Windber

  • Surgery Physician
  • Windber, PA
National Provider Identifier
1417911470
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD031178L Issued in PA
Legal business name
SURGICAL ASSOCIATES OF WINDBER
Practice address
609 Somerset Ave
Windber, PA 15963-1330
Phone
(814) 467-5513
Fax
(814) 467-8455
NPI assigned
Apr 14, 2006
Last updated
Oct 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Rodolfo Lazo Furigay, MD
Title
President
Phone
(814) 467-5513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD031178L PA Primary

Addresses

Primary practice location

609 Somerset Ave
Windber, PA 15963-1330

Mailing address

609 Somerset Ave
Windber, PA 15963-1330
Phone (814) 467-5513

Other identifiers 2

IdentifierTypeStateIssuer
0055808OtherPAUNITED MINE WORKERS OF AM
0006591720002MedicaidPA

National Provider Directory

National Provider Directory

Locations

609 Somerset Ave
Windber, PA 15963
Phone (814) 467-3400

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1417911470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SOMERSET AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631330",
            "telephone_number": "814-467-5513",
            "fax_number": "814-467-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SOMERSET AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631330",
            "telephone_number": "814-467-5513",
            "fax_number": "814-467-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF WINDBER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "FURIGAY",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_middle_name": "LAZO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-467-5513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD031178L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS OF AM",
            "identifier": "0055808",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006591720002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windber, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.