NPIMap

Organization Active NPI

Amr Omar Shawarby Incorporated

  • Surgery Physician
  • Northern Cambria, PA
National Provider Identifier
1912170671
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD-064306-L Issued in PA
Legal business name
AMR OMAR SHAWARBY INCORPORATED
Practice address
2611 Bigler Avenue
Northern Cambria, PA 15714-0727
Phone
(814) 948-2805
Fax
(814) 948-2975
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Ms. Lisa Jean Shell, RN,CNOR
Title
Surgical Care Coordinator
Phone
(814) 948-2805

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X MD-064306-L PA Primary
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X MD-064306-L PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208G00000X MD-064306-L PA

Addresses

Primary practice location

2611 Bigler Avenue
Northern Cambria, PA 15714-0727

Mailing address

PO Box 727
2611 Bigler Avenue
Northern Cambria, PA 15714-0727
Phone (814) 948-2805

Other identifiers 1

IdentifierTypeStateIssuer
0016977950005MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1912170671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "address_2": "2611 BIGLER AVENUE",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157140727",
            "telephone_number": "814-948-2805",
            "fax_number": "814-948-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 BIGLER AVENUE",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157140727",
            "telephone_number": "814-948-2805",
            "fax_number": "814-948-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMR OMAR SHAWARBY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "SHELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "SURGICAL CARE COORDINATOR",
        "authorized_official_telephone_number": "814-948-2805",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN,CNOR"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD-064306-L",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD-064306-L",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD-064306-L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016977950005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northern Cambria, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.