NPIMap

Organization Active NPI

Health Associates of Western Pennsylvania P C

  • Family Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1780776294
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTH ASSOCIATES OF WESTERN PENNSYLVANIA P C
Practice address
100 S Jackson Ave
5TH Floor
Pittsburgh, PA 15202-3428
Phone
(412) 415-1138
Fax
(412) 301-0113
NPI assigned
Sep 29, 2006
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
William Keith Johnjulio, M.D.
Title
President
Phone
(412) 415-1138

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X MA052916 PA
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X MA002042L PA
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X TP005003B PA

Addresses

Primary practice location

100 S Jackson Ave
5TH Floor
Pittsburgh, PA 15202-3428

Mailing address

PO Box 1236
Butler, PA 16003-1236
Phone (412) 937-9640

Other identifiers 4

IdentifierTypeStateIssuer
101792133MedicaidPA
1517162OtherPAGATEWAY
1905604OtherPABCBS
DF5831OtherPARR MCR

National Provider Directory

National Provider Directory

Locations

3 Saint Francis Way
Ste 202
Cranberry Twp, PA 16066
Phone (724) 772-1130

2550 Mosside Blvd
Monroeville, PA 15146
Phone (412) 372-6120

1004 Arch St
Ste 2010
Pittsburgh, PA 15212
Phone (412) 323-7003

2000 Mary St
Side
Pittsburgh, PA 15203
Phone (412) 488-5705

5700 Corporate Dr
Ste 265
Pittsburgh, PA 15237
Phone (412) 369-5900

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1780776294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1236",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160031236",
            "telephone_number": "412-937-9640",
            "fax_number": "412-937-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S JACKSON AVE",
            "address_2": "5TH FLOOR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152023428",
            "telephone_number": "412-415-1138",
            "fax_number": "412-301-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ASSOCIATES OF WESTERN PENNSYLVANIA P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "JOHNJULIO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-415-1138",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052916",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002042L",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP005003B",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101792133",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1517162",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1905604",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "DF5831",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.