# HEALTH ASSOCIATES OF WESTERN PENNSYLVANIA P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780776294
- **Authorized official:** WILLIAM KEITH JOHNJULIO M.D. (PRESIDENT)
- **Authorized official phone:** (412) 415-1138

## Contact information

- **Practice address:** 100 S JACKSON AVE, 5TH FLOOR, PITTSBURGH, PA 15202-3428
- **Practice address phone:** (412) 415-1138
- **Practice address fax:** (412) 301-0113
- **Mailing address:** PO BOX 1236, BUTLER, PA 16003-1236
- **Mailing address phone:** (412) 937-9640
- **Mailing address fax:** (412) 937-8639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | MA052916 | PA | — |
| 363AM0700X | Medical Physician Assistant | MA002042L | PA | — |
| 363L00000X | Nurse Practitioner | TP005003B | PA | — |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 10/28/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101792133 | — | PA |
| 01 | — | 1517162 | GATEWAY | PA |
| 01 | — | 1905604 | BCBS | PA |
| 01 | — | DF5831 | RR MCR | PA |