Organization Active NPI

Paul V Woolley, MD, PC

  • Hematology & Oncology Physician
  • Johnstown, PA
National Provider Identifier
1790784742
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD046527L Issued in PA
Legal business name
PAUL V WOOLLEY, MD, PC
Practice address
88 Osborne St
Johnstown, PA 15905-4146
Phone
(814) 536-7510
Fax
(814) 536-7527
NPI assigned
Jul 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul V Woolley, MD
Title
Physician/Owner
Phone
(814) 536-7510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X MD046527L PA Primary

Addresses

Primary practice location

88 Osborne St
Johnstown, PA 15905-4146

Mailing address

PO Box 488
Johnstown, PA 15907-0488
Phone (814) 536-7510

Other identifiers 2

IdentifierTypeStateIssuer
1510090OtherPAHIGHMARK BLUE CROSS
1008421970001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790784742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159070488",
            "telephone_number": "814-536-7510",
            "fax_number": "814-536-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 OSBORNE ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054146",
            "telephone_number": "814-536-7510",
            "fax_number": "814-536-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL V WOOLLEY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOLLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "814-536-7510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD046527L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "1510090",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008421970001",
            "state": "PA"
        }
    ],
    "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 Aug 22, 2020; 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.