Active NPI
Plastic Surgical Associates of Johnstown, Inc
- Anesthesiology Physician
- Johnstown, PA
National Provider Identifier
1639401698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- PLASTIC SURGICAL ASSOCIATES OF JOHNSTOWN, INC
- Practice address
- 415 Napoleon PL
Johnstown, PA 15901-2504 - Phone
- (814) 536-9000
- NPI assigned
- Feb 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel R Nevarre, MD
- Title
- Ceo
- Phone
- (814) 536-9000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
415 Napoleon PL
Johnstown, PA 15901-2504
Mailing address
415 Napoleon PL
Johnstown, PA 15901-2504
Phone (814) 536-9000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265068800000",
"number": "1639401698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 NAPOLEON PL",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159012504",
"telephone_number": "814-536-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 NAPOLEON PL",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159012504",
"telephone_number": "814-536-9000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC SURGICAL ASSOCIATES OF JOHNSTOWN, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-02",
"last_updated": "2010-02-02",
"status": "A",
"authorized_official_last_name": "NEVARRE",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "814-536-9000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
- Sharon Marie Plank, M.D.
- Planned Parenthood of Western Pennsylvania, Inc
- Plastic Surgical Associates of Johnstown Inc
- Plastic Surgical Associates of Johnstown Inc
- Plastic Surgical Associates of Johnstown, Inc
- Platinum Nutrition Counseling
- Natasha Pletcher, PHARMD
- Tessa Plowchin, NCC, LPC
- Jodi Elizabeth Plowman, LCSW
- Emily Danielle Plummer, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.