Organization Active NPI

Western Pennsylvania Orthopedic and Sports Medicine, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Johnstown, PA
National Provider Identifier
1982058327
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6000007302 Issued in PA
Legal business name
WESTERN PENNSYLVANIA ORTHOPEDIC AND SPORTS MEDICINE, INC.
Practice address
1450 Scalp Ave
Suite 1055
Johnstown, PA 15904-3321
Phone
(814) 255-6781
Fax
(814) 255-5716
NPI assigned
Apr 22, 2016
Last updated
Apr 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Dr. Ian Katz, M.D.NPI 1033128632
Title
Orthopedic Surgeon / Corp Secretary
Phone
(814) 255-6781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6000007302 PA Primary
Prosthetic/Orthotic Supplier 335E00000X 6000007302 PA

Addresses

Primary practice location

1450 Scalp Ave
Suite 1055
Johnstown, PA 15904-3321

Mailing address

2 Celeste Dr
Johnstown, PA 15905-2832
Phone (814) 255-6781

Other identifiers 2

IdentifierTypeStateIssuer
1007636380009MedicaidPA
000559282OtherPAHIGHMARK BLUE SHIELD GROUP PROVIDER NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1982058327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CELESTE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052832",
            "telephone_number": "814-255-6781",
            "fax_number": "814-255-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SCALP AVE",
            "address_2": "SUITE 1055",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043321",
            "telephone_number": "814-255-6781",
            "fax_number": "814-255-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PENNSYLVANIA ORTHOPEDIC AND SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGEON / CORP SECRETARY",
        "authorized_official_telephone_number": "814-255-6781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "6000007302",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "6000007302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007636380009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD GROUP PROVIDER NUMBER",
            "identifier": "000559282",
            "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 Apr 22, 2016; 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.