NPIMap

Organization Active NPI

Upmc Altoona

Doing business as Altoona Family Physicians

  • General Acute Care Hospital
  • Altoona, PA
National Provider Identifier
1487604179
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
012801 Issued in PA
Legal business name
UPMC ALTOONA
Doing business as
Altoona Family Physicians
Practice address
501 Howard Ave
Suite F2
Altoona, PA 16601-4810
Phone
(814) 889-2701
Fax
(814) 889-7864
NPI assigned
May 11, 2006
Last updated
Jun 9, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
UPMC ALTOONAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Mr. Jerry Murray
Title
Ceo
Phone
(814) 889-2223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 012801 PA Primary

Addresses

Primary practice location

501 Howard Ave
Suite F2
Altoona, PA 16601-4810

Mailing address

501 Howard Ave
Suite F2
Altoona, PA 16601-4810
Phone (814) 889-2701

Other identifiers 10

IdentifierTypeStateIssuer
321200OtherFEDERAL BLACK LUNG
1007278290086MedicaidPA
111333OtherPAUNISON HEALTH PLAN
CA9269OtherGARAILROAD MEDICARE
W402OtherPAGEISINGER HEALTH PLAN
111354OtherPAUNISON HEALTH PLAN OB
14111OtherPAUPMC FOR YOU HEALTH PLAN
155623OtherPAHIGHMARK BC/BS
V0P017OtherPAUPMC HEALTH PLAN
1014433OtherPAGATEWAY HEALTH PLAN

Other names 1

  • Altoona Family Physicians Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001053 PA Part B Supplier - Clinic/Group Practice 8426962465 Receives reassigned benefits from 64 practitioners
Practice locations: Altoona, PA

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Part of
Altoona Emergency Physi

Locations

501 Howard Ave
Ste F2
Altoona, PA 16601
Phone (814) 889-2020

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
Encompass Health Rehabilitation Hospital of AltoonaAltoona, PA, CCN 393040 Hospital 5% Or Greater Indirect Ownership Interest (15%) Nov 1, 2009

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 66

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 66

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1487604179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE",
            "address_2": "SUITE F2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014810",
            "telephone_number": "814-889-2701",
            "fax_number": "814-889-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE",
            "address_2": "SUITE F2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014810",
            "telephone_number": "814-889-2701",
            "fax_number": "814-889-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC ALTOONA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UPMC  ALTOONA",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-889-2223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "012801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "321200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007278290086",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "111333",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA9269",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "W402",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN OB",
            "identifier": "111354",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC FOR YOU HEALTH PLAN",
            "identifier": "14111",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "155623",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "V0P017",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1014433",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Altoona Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.