NPI Code Detail JSON Logo

1699138065 NPI number — WESTERN PENNSYLVANIA ORTHOPEDICS AND SPORTS MEDICINE, INC.

NPI Number: 1699138065
Health Care Provider/Practitioner: WESTERN PENNSYLVANIA ORTHOPEDICS AND SPORTS MEDICINE, INC.

Information about “1699138065” NPI (WESTERN PENNSYLVANIA ORTHOPEDICS AND SPORTS MEDICINE, INC.) exists in 1699138065 in HTML format HTML  |  1699138065 in plain Text format TXT  |  1699138065 in PDF (Portable Document Format) PDF  |  1699138065 in an XML format XML  formats.

NPI Number : 1699138065 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699138065",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WESTERN PENNSYLVANIA ORTHOPEDICS AND SPORTS MEDICINE, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2 CELESTE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JOHNSTOWN",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15905-2832",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "814-255-6781",
    "MailingAddressFaxNumber": "814-255-5716",
    "FirstLinePracticeLocationAddress": "236 JAMESWAY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "EBENSBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15931-4207",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "814-255-6781",
    "PracticeLocationAddressFaxNumber": "814-255-5716",
    "EnumerationDate": "04/01/2016",
    "LastUpdateDate": "04/01/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KATZ",
    "AuthorizedOfficialFirstName": "IAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ORTHOPEDIC SURGEON / CORP SECRETARY",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.D.",
    "AuthorizedOfficialTelephoneNumber": "814-255-6781",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "335E00000X",
          "TaxonomyName": "Prosthetic/Orthotic Supplier",
          "LicenseNumber": "6000007302",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": "6000007302",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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