Organization Active NPI

George Pueblitz M.D.

  • Specialist
  • Johnstown, PA
National Provider Identifier
1598881823
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD028921-E Issued in PA
Legal business name
GEORGE PUEBLITZ M.D.
Practice address
891 Menoher Blvd
Johnstown, PA 15905-2839
Phone
(814) 539-3119
Fax
(814) 539-4137
NPI assigned
Mar 21, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
George Pueblitz, M.D.NPI 1508854399
Title
Physician
Phone
(814) 539-3119

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD028921-E PA Primary

Addresses

Primary practice location

891 Menoher Blvd
Johnstown, PA 15905-2839

Mailing address

891 Menoher Blvd
Johnstown, PA 15905-2839
Phone (814) 539-3119

National Provider Directory

National Provider Directory
Tax ID family
George Pueblitz MD2 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.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1598881823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 MENOHER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052839",
            "telephone_number": "814-539-3119",
            "fax_number": "814-539-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 MENOHER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052839",
            "telephone_number": "814-539-3119",
            "fax_number": "814-539-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE PUEBLITZ M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "PUEBLITZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "814-539-3119",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD028921-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 11, 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.