Western Pennsylvania Pathology, P.C.
Organization Active NPI Specialist · Windber, PA
NPI 1780003228 · NPPES record last updated Dec 4, 2014
Key facts
- NPI
- 1780003228
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- WESTERN PENNSYLVANIA PATHOLOGY, P.C.
- Practice address
- 600 Somerset Ave
Pathology Department
Windber, PA 15963-1331 - Phone
- (814) 467-3133
- NPI assigned
- Apr 14, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Curtis Goldblatt, MD
- Title
- President
- Phone
- (814) 467-3133
Practitioners 51
-
Trudi J Brown, M.D.
-
Veronica Coppersmith, D.O.
-
Gretchen L. Dreikorn, CRNA
-
Matthew T Ebling, MD
-
Craig H Fockler, DO
-
Bassam Hammudi, MD
-
Joshua Wayne Hinson, D.O.
-
Nathaniel Kriger, D.O.
-
Jeffrey A Lavanier, M.D.
-
Gaurav J Patel, M.D.
-
Joseph Thomas Patterson, M.D.
-
Laurence Howard Paul, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141202001993 | PA | Part B Supplier - Clinic/Group Practice | 1951623974 |
Receives reassigned benefits from 2 practitioners Practice locations: Windber, PA |
National Provider Directory
Locations
620 7th St
Windber, PA 15963
Phone (814) 361-6917
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
600 Somerset Ave
Pathology Department
Windber, PA 15963-1331
Mailing address
600 Somerset Ave
Pathology Department
Windber, PA 15963-1331
Phone (814) 467-3133
Other providers in Windber, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.