NPIMap

Organization Active NPI

Western Pennsylvania Orthopedics and Sports Medicine, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Ebensburg, PA
National Provider Identifier
1699138065
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000007302 Issued in PA
Legal business name
WESTERN PENNSYLVANIA ORTHOPEDICS AND SPORTS MEDICINE, INC.
Practice address
236 Jamesway Rd
Ebensburg, PA 15931-4207
Phone
(814) 255-6781
Fax
(814) 255-5716
NPI assigned
Apr 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Dr. Ian Katz, M.D.
Title
Orthopedic Surgeon / Corp Secretary
Phone
(814) 255-6781

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6000007302 PA Primary
Prosthetic/Orthotic Supplier 335E00000X 6000007302 PA

Addresses

Primary practice location

236 Jamesway Rd
Ebensburg, PA 15931-4207

Mailing address

2 Celeste Dr
Johnstown, PA 15905-2832
Phone (814) 255-6781

Other identifiers 2

IdentifierTypeStateIssuer
000559282OtherPAHIGHMARK BLUE SHIELD GROUP PROVIDER NUMBER
100763638009MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1699138065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CELESTE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052832",
            "telephone_number": "814-255-6781",
            "fax_number": "814-255-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 JAMESWAY RD",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314207",
            "telephone_number": "814-255-6781",
            "fax_number": "814-255-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PENNSYLVANIA ORTHOPEDICS AND SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON / CORP SECRETARY",
        "authorized_official_telephone_number": "814-255-6781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000007302",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "6000007302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD GROUP PROVIDER NUMBER",
            "identifier": "000559282",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100763638009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.