Individual provider Active NPI

Edward J Pawlowski, M.D.

  • Pediatrics Physician
  • Johnstown, PA
National Provider Identifier
1598960395
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD434731 Issued in PA
Practice address
1322 Eisenhower Blvd
Johnstown, PA 15904-3307
Phone
(814) 266-8840
NPI assigned
Jun 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Pediatrics Physician 208000000X MD434731 PA Primary

Addresses

Primary practice location

1322 Eisenhower Blvd
Johnstown, PA 15904-3307

Mailing address

1322 Eisenhower Blvd
Johnstown, PA 15904-3307
Phone (814) 262-7171

Other identifiers 1

IdentifierTypeStateIssuer
1020746600002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723000962 PA Practitioner - Pediatric Medicine 2062592934 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Care Specialists CurrentSince Jul 1, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Childrens Community Pediatrics Specialist Past Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Past Accepting new patients

Locations

121 Rolling Acres Dr
Alum Bank, PA 15521
Phone (814) 266-8840

131 Casale Ct
Ebensburg, PA 15931
Phone 8142668840 ext. 300

110 Main St
Johnstown, PA 15901
Phone 8142668840 ext. 300

1322 Eisenhower Blvd
Johnstown, PA 15904
Phone (814) 266-8840

507 Georgian Pl
Somerset, PA 15501
Phone (814) 266-8840

Interoperability endpoints

  • Direct secure messaging: epawl@pcs.medentdirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1598960395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 EISENHOWER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043307",
            "telephone_number": "814-262-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 EISENHOWER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043307",
            "telephone_number": "814-266-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLOWSKI",
        "first_name": "EDWARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD434731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020746600002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.