Plastic Surgical Associates of Johnstown Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

5023 Issued in PA

Legal business name

PLASTIC SURGICAL ASSOCIATES OF JOHNSTOWN INC

Practice address

415 Napoleon PL
Johnstown, PA 15901-2504

Phone

(814) 536-9000

NPI assigned

Dec 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joel E Borkow, MD

Title

President

Phone

(814) 536-9000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• David R Nevarre, PA-C

  • Surgical Physician Assistant
  • Johnstown, PA
  • NPI 1043373483
  NPD (past)
• Justine Marie Roberts, PA-C

  • Physician Assistant
  • Murrysville, PA
  • NPI 1609002880
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942364716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 NAPOLEON PL",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012504",
            "telephone_number": "814-536-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NAPOLEON PL",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159012504",
            "telephone_number": "814-536-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGICAL ASSOCIATES OF JOHNSTOWN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORKOW",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-536-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "5023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK NUMBER",
            "identifier": "2074",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006508380007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Rae Pittman, MA
• Erin Elizabeth Pituch, B.S, MSW-INTERN
• Sharon Marie Plank, M.D.
• Planned Parenthood of Western Pennsylvania, Inc (Planned Parenthood of Western PA Johnstown)
• Plastic Surgical Associates of Johnstown Inc
• Plastic Surgical Associates of Johnstown, Inc
• Plastic Surgical Associates of Johnstown, Inc
• Platinum Nutrition Counseling
• Natasha Pletcher, PHARMD
• Tessa Plowchin, NCC, LPC

• Ambulatory Surgical Clinic/Center in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• 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.