NPIMap

Organization Active NPI

Upmc/Conemaugh Cancer Center

  • Radiology Clinic/Center
  • Johnstown, PA
National Provider Identifier
1700185188
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
UPMC/CONEMAUGH CANCER CENTER
Practice address
337 Somerset St
John P. Murtha Pavilion
Johnstown, PA 15901-2541
Phone
(814) 534-4724
Fax
(814) 536-5135
NPI assigned
Mar 24, 2011
Last updated
Mar 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Mr. James G Terwilliger
Title
Executive Director/Vice President
Phone
(412) 623-7976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

337 Somerset St
John P. Murtha Pavilion
Johnstown, PA 15901-2541

Mailing address

2 Hot Metal St
Quantum One, N430
Pittsburgh, PA 15203-2348
Phone (412) 432-7706

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111230000263 PA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 7618912494 Practice locations: Johnstown, PA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Upmcconemaugh Cancer Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

337 Somerset St
#P
Johnstown, PA 15901
Phone (814) 534-4724

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1700185188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOT METAL ST",
            "address_2": "QUANTUM ONE, N430",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152032348",
            "telephone_number": "412-432-7706",
            "fax_number": "412-432-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 SOMERSET ST",
            "address_2": "JOHN P. MURTHA PAVILION",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012541",
            "telephone_number": "814-534-4724",
            "fax_number": "814-536-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC/CONEMAUGH CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "TERWILLIGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/VICE PRESIDENT",
        "authorized_official_telephone_number": "412-623-7976",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.