NPIMap

Organization Active NPI

Windber Hospital Inc

Doing business as Windber Physician Group

  • Surgery Physician
  • Windber, PA
National Provider Identifier
1669773594
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WINDBER HOSPITAL INC
Doing business as
Windber Physician Group
Practice address
600 Somerset Ave
Windber, PA 15963-1331
Phone
(814) 467-4750
Fax
(814) 467-4751
NPI assigned
Nov 9, 2010
Last updated
May 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Christina Larosse, CPC
Title
Business Manager
Phone
(814) 535-7576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

600 Somerset Ave
Windber, PA 15963-1331

Mailing address

321 Main St
Suite 3G
Johnstown, PA 15901-1632
Phone (814) 535-7576

Other identifiers 3

IdentifierTypeStateIssuer
1760595755OtherPATAESUN MOON, DO
1457336042OtherKIM R MARLEY MD
1568692549OtherNATHANIEL SANN CRNP

Other names 1

  • Windber Physician Group Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

321 Main St
Ste 3C
Johnstown, PA 15901
Phone (814) 254-4502

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1669773594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "address_2": "SUITE 3G",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011632",
            "telephone_number": "814-535-7576",
            "fax_number": "814-536-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOMERSET AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631331",
            "telephone_number": "814-467-4750",
            "fax_number": "814-467-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDBER HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "LAROSSE",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "814-535-7576",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAESUN MOON, DO",
            "identifier": "1760595755",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KIM R MARLEY MD",
            "identifier": "1457336042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATHANIEL SANN CRNP",
            "identifier": "1568692549",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windber Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windber, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.