Medical Group of Windber Inc

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD025803E Issued in PA

Legal business name

MEDICAL GROUP OF WINDBER INC

Practice address

1511 Scalp Ave
Johnstown, PA 15904-3315

Phone

(814) 269-3667

NPI assigned

Mar 5, 2010

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

Name

Kenny Heine

Title

Sr. Director of Operations

Phone

(858) 625-2990

Tax ID family

Medical Group of Windber - Richland2 organizations share this tax ID, including this one

Part of

Tri - State Medical Group Inc

Other organizations with this tax ID 1

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

• Medical Group of Windber Inc.

  • Non-Pharmacy Dispensing Site
  • Windber, PA
  • NPI 1679897748
  NPD tax ID

• Medical Group of Windber - Richland Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2012.

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1760705669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 SCALP AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043315",
            "telephone_number": "814-269-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP OF WINDBER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2010-03-05",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "SR. DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD025803E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Group of Windber - Richland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MD Massoud LLC
• Paul G. Meade, M.D.
• Amanda Sue Meagher
• Benjamen Wallace Mecham, DO
• Medexpress Urgent Care, PC - Pennsylvania
• Britney Ann Meenan, PT
• Daniel R Meenan, MD
• Kathleen A Mehall, PA-C
• Talha Mehmood, M.D.
• Janet Elaine Melikant, OTR/L

• All providers in Johnstown, PA
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.