Healthcare Provider Details

I. General information

NPI: 1225690852
Provider Name (Legal Business Name): NORTHWEST PHYSICIANS ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2019
Last Update Date: 11/27/2023
Certification Date: 07/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N MERCER ST
LINESVILLE PA
16424-9232
US

IV. Provider business mailing address

1012 WATER ST
MEADVILLE PA
16335-3468
US

V. Phone/Fax

Practice location:
  • Phone: 814-683-4636
  • Fax: 814-683-5869
Mailing address:
  • Phone: 814-333-2001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: BRUCE ARMSTRONG
Title or Position: CEO
Credential:
Phone: 814-333-2001