Organization Active NPI

Valley Orthopedics Inc

  • Orthopaedic Surgery Physician
  • Johnstown, PA
National Provider Identifier
1558358127
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD018887E Issued in PA
Legal business name
VALLEY ORTHOPEDICS INC
Practice address
1111 Franklin St
Suite 140
Johnstown, PA 15905-4330
Phone
(814) 535-5554
Fax
(814) 535-5255
NPI assigned
Sep 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Peter James Ridella, MD
Title
President
Phone
(814) 535-5554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X MD018887E PA Primary

Addresses

Primary practice location

1111 Franklin St
Suite 140
Johnstown, PA 15905-4330

Mailing address

1111 Franklin St
Suite 140
Johnstown, PA 15905-4330
Phone (814) 535-5554

Other identifiers 1

IdentifierTypeStateIssuer
0006410600002MedicaidPA

National Provider Directory

National Provider Directory

Locations

121 Rolling Acres Dr
Bldg Of
Alum Bank, PA 15521
Phone (814) 839-0090

236 Jamesway Rd
Ebensburg, PA 15931
Phone (814) 471-6595

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1558358127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 FRANKLIN ST",
            "address_2": "SUITE 140",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054330",
            "telephone_number": "814-535-5554",
            "fax_number": "814-535-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 FRANKLIN ST",
            "address_2": "SUITE 140",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054330",
            "telephone_number": "814-535-5554",
            "fax_number": "814-535-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ORTHOPEDICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "RIDELLA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-535-5554",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD018887E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006410600002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.