Organization Active NPI

The Heart Group of the Laurel Highlands PC

  • Cardiovascular Disease Physician
  • Johnstown, PA
National Provider Identifier
1790780146
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD029063L Issued in PA
Legal business name
THE HEART GROUP OF THE LAUREL HIGHLANDS PC
Practice address
1020 Franklin St
Ste GS-G01
Johnstown, PA 15905-4109
Phone
(814) 534-1035
Fax
(814) 534-1211
NPI assigned
Jun 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Thomas Cardellino, Jr., MD
Title
President
Phone
(814) 534-1035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MD029063L PA Primary

Addresses

Primary practice location

1020 Franklin St
Ste GS-G01
Johnstown, PA 15905-4109

Mailing address

1020 Franklin St
Ste GS-G01
Johnstown, PA 15905-4109
Phone (814) 534-1035

National Provider Directory

National Provider Directory

Locations

1020 Franklin St
#1
Johnstown, PA 15905
Phone (814) 533-1035

1020 Franklin St
Ste GSG1
Johnstown, PA 15905
Phone (814) 533-1035

Practitioners & affiliated clinicians

Practitioners 4

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": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1790780146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 FRANKLIN ST",
            "address_2": "STE GS-G01",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054109",
            "telephone_number": "814-534-1035",
            "fax_number": "814-534-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 FRANKLIN ST",
            "address_2": "STE GS-G01",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054109",
            "telephone_number": "814-534-1035",
            "fax_number": "814-534-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART GROUP OF THE LAUREL HIGHLANDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "CARDELLINO, JR.",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-534-1035",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD029063L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 14, 2010; 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.