NPIMap

Organization Active NPI

Windber Hospital, Inc.

Doing business as Windber Gyn Associates

  • Obstetrics & Gynecology Physician
  • Windber, PA
National Provider Identifier
1689620411
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD069166L Issued in PA
Legal business name
WINDBER HOSPITAL, INC.
Doing business as
Windber Gyn Associates
Practice address
600 Somerset Ave
Windber, PA 15963-1331
Phone
(814) 467-3176
Fax
(814) 467-3177
NPI assigned
May 25, 2006
Last updated
Jun 10, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
WINDBER HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Tom Kurtz
Title
President/Ceo
Phone
(814) 467-3702

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD069166L PA Primary
Obstetrics & Gynecology Physician 207V00000X MD030628E PA
Obstetrics & Gynecology Physician 207V00000X MD036686L PA
Obstetrics & Gynecology Physician 207V00000X MD441571 PA

Addresses

Primary practice location

600 Somerset Ave
Windber, PA 15963-1331

Mailing address

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3176

Other identifiers 2

IdentifierTypeStateIssuer
1007703740027MedicaidPA
1766853OtherPAHIGHMARK

Other names 1

  • Windber Gyn Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051121000801 PA Part B Supplier - Clinic/Group Practice 9234187576 Receives reassigned benefits from 2 practitioners
Practice locations: Windber, PA

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Windber Hospital8 organizations share this tax ID, including this one
Part of
Windber Hospital

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

615 Howard Ave
Ste 209
Altoona, PA 16601

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regional Hospice at WindberWindber, PA, CCN 391541 Hospice Operational/Managerial Control (100%) Jul 1, 1990

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 6

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": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1689620411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SOMERSET AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631331",
            "telephone_number": "814-467-3176",
            "fax_number": "814-467-3177"
        },
        {
            "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": "814-467-3176",
            "fax_number": "814-467-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDBER HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINDBER HOSPITAL, INC.",
        "enumeration_date": "2006-05-25",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "814-467-3702"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD069166L",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD030628E",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD036686L",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD441571",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007703740027",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1766853",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windber Gyn Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windber, PA

Sources for this page

Verify at the official NPI Registry.