Organization Active NPI

Johnstown Cardiovascular Associates Inc

Doing business as johnstown cardiovascular associates

  • Cardiovascular Disease Physician
  • Johnstown, PA
National Provider Identifier
1730100900
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
JOHNSTOWN CARDIOVASCULAR ASSOCIATES INC
Doing business as
johnstown cardiovascular associates
Practice address
1123 Franklin St
Johnstown, PA 15905-4309
Phone
(814) 539-5340
Fax
(814) 536-1648
NPI assigned
Jul 22, 2006
Last updated
Apr 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Authorized official

Name
Mrs. Colleen Rae Foreback
Title
Office Manager
Phone
(814) 539-5340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

1123 Franklin St
Johnstown, PA 15905-4309

Mailing address

1123 Franklin St
Johnstown, PA 15905-4309
Phone (814) 539-5340

Other names 1

  • johnstown cardiovascular associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1730100900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054309",
            "telephone_number": "814-539-5340",
            "fax_number": "814-536-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054309",
            "telephone_number": "814-539-5340",
            "fax_number": "814-536-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTOWN CARDIOVASCULAR ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "FOREBACK",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-539-5340",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "johnstown cardiovascular associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "johnstown cardiovascular associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 8, 2019; 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.