Organization Active NPI

Upmc Altoona Regional Health Services, Inc

Doing business as Blair Medical Associates

  • Internal Medicine Physician
  • Altoona, PA
National Provider Identifier
1639158488
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UPMC ALTOONA REGIONAL HEALTH SERVICES, INC
Doing business as
Blair Medical Associates
Practice address
1414 9TH Ave
Station Medical Center
Altoona, PA 16602-2454
Phone
(814) 946-1655
Fax
(814) 949-7616
NPI assigned
Jan 11, 2006
Last updated
Oct 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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

Authorized official

Name
Jill M Swab, CPCS
Title
Billing Manager
Phone
(814) 949-7622

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X MD439371 PA
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X MD439371 PA
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X MD436098 PA
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X MD428424 PA
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X MD026570E PA
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X

Addresses

Primary practice location

1414 9TH Ave
Station Medical Center
Altoona, PA 16602-2454

Mailing address

1414 9TH Ave
Station Medical Center
Altoona, PA 16602-2454
Phone (814) 946-1655

Other names 1

  • Blair Medical Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000257 PA Part B Supplier - Clinic/Group Practice 5395659312 Receives reassigned benefits from 486 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ebensburg, PA; Cresson, PA; Everett, PA; Hollidaysburg, PA; Huntingdon, PA; Johnstown, PA; Roaring Spring, PA; Somerset, PA…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1200 11th Ave
Altoona, PA 16601

1414 9th Ave
#12
Altoona, PA 16602

1544 E Pleasant Valley Blvd
Altoona, PA 16602

1701 12th Ave
Altoona, PA 16601
Phone (814) 942-9600

2323 Broad Ave
Altoona, PA 16601
Phone (814) 944-2015

501 Howard Ave
Ste 3
Altoona, PA 16601
Phone (814) 889-4300

501 Howard Ave
Ste B100
Altoona, PA 16601

620 Howard Ave
#4
Altoona, PA 16601
Phone (814) 889-2708

620 Howard Ave
Ste 2
Altoona, PA 16601

801 Howard Ave
Altoona, PA 16601
Phone (814) 201-2232

152 Zeman Dr
Ebensburg, PA 15931
Phone (814) 471-2200

249 Hospital Dr
#2
Everett, PA 15537
Phone (814) 623-9977

249 Hospital Dr
Lowr
Everett, PA 15537
Phone (814) 623-9039

721 N Juniata St
Ste 1
Hollidaysburg, PA 16648
Phone (814) 695-5591

800 S Logan Blvd
Ste 1100
Hollidaysburg, PA 16648
Phone (814) 947-4300

800 S Logan Blvd
Ste 2100
Hollidaysburg, PA 16648

9492 William Penn Hwy
Ste 3
Huntingdon, PA 16652

970 Franklin St
Johnstown, PA 15905
Phone (814) 248-3004

200 Lothrop St
Ste G310
Pittsburgh, PA 15213

Practitioners & affiliated clinicians

Practitioners 351

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 351

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443744000000",
    "number": "1639158488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 9TH AVE",
            "address_2": "STATION MEDICAL CENTER",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022454",
            "telephone_number": "814-946-1655",
            "fax_number": "814-949-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 9TH AVE",
            "address_2": "STATION MEDICAL CENTER",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022454",
            "telephone_number": "814-946-1655",
            "fax_number": "814-949-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC ALTOONA REGIONAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2015-10-02",
        "status": "A",
        "authorized_official_last_name": "SWAB",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "814-949-7622",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD439371",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD439371",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD436098",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD428424",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "PA",
            "license": "MD026570E",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blair Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; 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.