Laurel Cardiology PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD058575L Issued in PA

Legal business name

LAUREL CARDIOLOGY PC

Practice address

1015 Franklin St
Wessel Building Level D
Johnstown, PA 15905-4110

Phone

(814) 534-5042

Fax

(814) 534-5045

NPI assigned

Feb 5, 2007

Last updated

Jul 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cyril Nathaniel, M.D.

Title

Physician

Phone

(814) 534-5042

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 4

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.

• Pamela Geary, ACNP

  • Acute Care Nurse Practitioner
  • Johnstown, PA
  • NPI 1003105362
  Medicare reassignment Care Compare group NPD
• Wilman Bladimir Olmedo Calderon

  • Interventional Cardiology Physician
  • New Rochelle, NY
  • NPI 1457788796

  PA

  Medicare reassignment Care Compare group NPD
• Hannah N Novak, PA-C

  • Internal Medicine Physician
  • Bedford, PA
  • NPI 1164074639
  Medicare reassignment Care Compare group
• Michael Joseph Dziagwa I, NP-C

  • Family Nurse Practitioner
  • Indiana, PA
  • NPI 1649623679
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1508905878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 FRANKLIN ST",
            "address_2": "WESSEL BUILDING LEVEL D",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054110",
            "telephone_number": "814-534-5042",
            "fax_number": "814-534-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 FRANKLIN ST",
            "address_2": "WESSEL BUILDING LEVEL D",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054110",
            "telephone_number": "814-534-5042",
            "fax_number": "814-534-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "NATHANIEL",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "814-534-5042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD058575L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015843160004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Larue
• Jill Noel Larue, MS, BCBA
• Jodi L Lashley, LCSW
• Jenilee Joy Lasure, DPT ATC
• Steven Patrick Lauer, DPT
• Laurel Group Anesthesia PC
• Laurel Highlands Advanced Imaging, LLC
• Laurel Highlands Hearing & Balance, LLC
• Laurel Highlands Neuro-Rehabilitation
• Laurel Kidney Specialists,P.C.

• Specialist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.