Walter V Kowtoniuk, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS004977L Issued in PA

Practice address

226 Fairfield Ave
Johnstown, PA 15906

Phone

(814) 535-6167

Fax

(814) 535-5428

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1972643336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 FAIRFIELD AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15906",
            "telephone_number": "814-535-6167",
            "fax_number": "814-535-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 FAIRFIELD AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15906",
            "telephone_number": "814-535-6167",
            "fax_number": "814-535-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWTONIUK",
        "first_name": "WALTER",
        "middle_name": "V",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004977L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OS004997L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea L Kormanik, OTR/L
• Shawna Jill Kosakowski, MSW, LSW
• Jennifer Lynn Kot, RD, LDN
• Hira Lal Koul, MD
• Carol E. Kowtoniuk, D.O.
• Kim Kozak
• Veronica Kozar, PHD. MSW, LCSW
• Thomas J Kozesky, PAC
• Tara Marie Kraisinger, DDS, MS
• Gary S Kramer, MD

• Family Medicine Physician in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.