PLASTIC SURGICAL ASSOCIATES OF JOHNSTOWN INC (NPI# 1285797654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285797654 |
| Entity Type | Organization |
| Organization Name | PLASTIC SURGICAL ASSOCIATES OF JOHNSTOWN INC |
| Practice Address |
415 Napoleon Pl Johnstown PA 15901-2504 |
| Practice Telephone | 8145369000 |
| Practice Fax Number | 8145368999 |
| Mailing Telephone | 8145369000 |
| Mailing Fax Number | 8145368999 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2012-02-22 |
| Authorized Official Name | DR. DANIEL R NEVARRE (DIRECTOR/CEO) |
| Authorized Official Telephone | 8145369000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 032123 | PA | Laboratories |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK GROUP NUMBER | 012931 | 01 |
| PA | LABORATORY STATE LICENSE NUMBER | 032123 | 01 |
| PA | 0006508380002 | 05 | |
| PA | CLIA | 39D2029791 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942364716 | Plastic Surgical Associates of Johnstown Inc | Clinic/Center | 415 Napoleon Pl, Johnstown, PA 15901-2504 | 2006-12-19 |
| Street Address |
415 NAPOLEON PL |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15901-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063575561 | Daniel R Nevarre | Surgery | 415 Napoleon Pl, Johnstown, PA 15901-2504 | 2006-12-18 |
| 1134587884 | Penn Neuromuscular Diagnostics, LLC | Clinic/Center | 415 Napoleon Pl, Johnstown, PA 15901-2504 | 2016-02-09 |
| 1508152752 | Plastic Surgical Associates of Johnstown, Inc | Durable Medical Equipment & Medical Supplies | 415 Napoleon Pl, Johnstown, PA 15901-2504 | 2011-06-27 |
| 1639401698 | Plastic Surgical Associates of Johnstown, Inc | Anesthesiology | 415 Napoleon Pl, Johnstown, PA 15901-2504 | 2010-02-02 |
| 1609002880 | Justine Marie Roberts | Physician Assistant | 415 Napoleon Pl, Johnstown, PA 15901-2504 | 2009-06-02 |
| 1942364716 | Plastic Surgical Associates of Johnstown Inc | Clinic/Center | 415 Napoleon Pl, Johnstown, PA 15901-2504 | 2006-12-19 |
| 1043373483 | David R Nevarre | Physician Assistant | 415 Napoleon Pl, Johnstown, PA 15901-2504 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821540758 | Valley Vision Care | Optometrist | 132 Market St., Johnstown, PA 15901 | 2016-10-26 |
| 1649515552 | Nulton Diagnostic & Treatment Center, PC. | Community/Behavioral Health | 110 Franklin Street, Suite 100, Johnstown, PA 15901 | 2012-12-04 |
| 1811126113 | Paul Richard Hoover | Counselor | 131 Market Street, Johnstown, PA 15901 | 2009-07-08 |
| 1013128495 | Subarna Hamid Eisaman | Internal Medicine | 337 Somerset Street, Upmc-john P. Murtha Regional Cance, Department of Radiation Oncology, Johnstown, PA 15901 | 2007-05-25 |
| 1912049115 | Charles G Shea Dmd PC | Dentist | 225 Vine St, Johnstown, PA 15901 | 2007-02-13 |
| 1982773297 | Thomas J Bach | Dentist | 504 Franklin St, Johnstown, PA 15901 | 2006-11-08 |
| 1659458396 | Joseph Andrew Balaschak | Dentist | 216 Dibert Street, Johnstown, PA 15901 | 2006-11-01 |
| 1306951561 | Barry James Senior | Dentist | 248 Vine Street, Johnstown, PA 15901 | 2006-08-20 |
| 1316979396 | Vicki Hess | Social Worker | 417 Main Street, Johnstown, PA 15901 | 2006-07-07 |
| 1043270143 | Highland R Campbell Jr. | Emergency Medicine | 1086 Frankling St, Conemaugh Emergency Physicians Group, Johnstown, PA 15901 | 2006-03-24 |
| Find all providers in zip 15901 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063575561 | Daniel R Nevarre | Surgery | 415 Napoleon Pl, Johnstown, PA 15901-2504 | 2006-12-18 |
| 1336150564 | Kamran Shayesteh | Surgery | 1 Tech Park Dr Ste 1200, Johnstown, PA 15901-2515 | 2006-08-11 |
| 1063575421 | Joel E Borkow | Surgery | 315 Locust St, 2nd Floor, Johnstown, PA 15901-1651 | 2006-12-18 |
| 1407840762 | Paul A Rollins | Surgery | 315 Locust St, 2nd Floor, Johnstown, PA 15901-1651 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326698549 | Michael Shafran Do PC | Surgery | 2 Park Ln Fl 3, Feasterville Trevose, PA 19053-6004 | 2019-09-19 |
| 1255873915 | Lam Plastic Surgery LLC | Surgery | 848 Town Center Drive, Langhorne, PA 19047-3439 | 2016-11-12 |
| 1487029971 | Philip Lipkin | Surgery | 233 S 6th St Apt 2101, Philadelphia, PA 19106-3756 | 2015-12-09 |
| 1477865566 | Ralph W Hamilton | Surgery | 847 Willow Valley Lakes Dr, Willow Street, PA 17584-9040 | 2010-07-06 |
| 1770801870 | Irene Teting Ma | Surgery | 3550 Terrace St 664 Scaife Hall, Pittsburgh, PA 15261 | 2010-05-13 |
| 1649408162 | Michael David Lado | Surgery | 1828 Ridgewood Rd, Orwigsburg, PA 17961-9525 | 2009-06-23 |
| 1245490515 | Wellspan Medical Group | Surgery | 50 Wyntre Brooke Dr, York, PA 17403-4535 | 2008-06-11 |
| 1982813853 | Wellington Joseph Davis IIi | Surgery | 1210 S Cedar Crest Blvd Ste 100, Allentown, PA 18103-6229 | 2007-05-21 |
| 1043423502 | James William Slavin | Surgery | 8216 Cedar Rd., Elkins Park, PA 19027-2114 | 2007-05-08 |
| 1467679787 | Amelia Arianne Pare Md PC | Surgery | 123 Hidden Valley Rd, Mc Murray, PA 15317-2603 | 2007-04-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.