NPIMap

Organization Active NPI

Central PA Cardiology, LLC

  • Cardiovascular Disease Physician
  • Altoona, PA
National Provider Identifier
1720316102
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CENTRAL PA CARDIOLOGY, LLC
Doing business as
Central PA Physicians Group
Practice address
914 South 12TH Street
Altoona, PA 16602-6527
Phone
(814) 201-2309
Fax
(814) 201-2389
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Authorized official

Name
Denise Baranik
Title
Practice Manager
Phone
(814) 201-2309

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X PA

Addresses

Primary practice location

914 South 12TH Street
Altoona, PA 16602-6527

Mailing address

914 South 12TH Street
Altoona, PA 16602-6527
Phone (814) 201-2309

Other identifiers 1

IdentifierTypeStateIssuer
0015090710009MedicaidPA

Other names 1

  • Central PA Physicians Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100127000031 PA Part B Supplier - Clinic/Group Practice 9234271420 Receives reassigned benefits from 3 practitioners
Practice locations: Everett, PA; Patton, PA; Roaring Spring, PA; Altoona, PA

National Provider Directory

National Provider Directory

Locations

605 Mifflin St
Huntingdon, PA 16652
Phone (814) 643-6900

350 Birch St
Ste 100
Patton, PA 16668
Phone 81420123091142

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HACIAA

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1720316102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 SOUTH 12TH STREET",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026527",
            "telephone_number": "814-201-2309",
            "fax_number": "814-201-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 SOUTH 12TH STREET",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026527",
            "telephone_number": "814-201-2309",
            "fax_number": "814-201-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PA CARDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "BARANIK",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "814-201-2309"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015090710009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central PA Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.