Advanced Vascular Resources of Johnstown LLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

MD073567L Issued in PA

Legal business name

ADVANCED VASCULAR RESOURCES OF JOHNSTOWN LLC

Practice address

1027 Broad St
Johnstown, PA 15906-2437

Phone

(814) 619-0945

Fax

(855) 341-0781

NPI assigned

Oct 9, 2013

Last updated

Oct 9, 2013By 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

Samir A. Hadeed, M.D.

Title

Medical Director

Phone

(814) 619-0945

Specialties & licenses 1

Addresses

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.

• Mubashar A Choudry, M.D.

  • Cardiovascular Disease Physician
  • Takoma Park, MD
  • NPI 1770585150
  NPD (past)

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1992132807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20032 NORTHVILLE HILLS TER",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477020",
            "telephone_number": "703-994-6655",
            "fax_number": "571-291-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 BROAD ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159062437",
            "telephone_number": "814-619-0945",
            "fax_number": "855-341-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED VASCULAR RESOURCES OF JOHNSTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "HADEED",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "814-619-0945",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD073567L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zakaria Abu Elkishik, MD
• Suzanne Abuhadba, DO
• Bernice Elaine Adams, LCSW
• Nicole Adams
• Desiree Adkins, APRN, FNP-C
• Advantagepoint Health Alliance - Laurel Highlands, LLC
• Bonifacio Tan Aguilera, M.D.
• Brian Patrick Ahlstrom, M.D.
• Nuzhat Ahmad, MD
• Mosleh Uddin Ahmed, MD

• Interventional Cardiology Physician in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Interventional Cardiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.