BONIFACIO TAN AGUILERA (NPI# 1043582406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043582406 |
| Entity Type | Individual |
| Full Name | BONIFACIO TAN AGUILERA |
| Credential | M.D. |
| Practice Address |
307 Terlyn Drive Johnstown PA 15904 |
| Practice Telephone | 8144676378 |
| Mailing Telephone | 8144676378 |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 17585E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
307 TERLYN DRIVE |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| 1467677831 | Nulton Diagnostic and Treatment Center | Community/Behavioral Health | 220 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699290411 | Rg Vargo Do Inc | Family Medicine | 738 W Coshocton St, Johnstown, OH 43031-9581 | 2017-08-14 |
| 1972957132 | Travis Rearick | Family Medicine | 1450 Scalp Ave # 3b, Johnstown, PA 15904-3321 | 2016-04-14 |
| 1598025801 | Prerana Bhupendrakumar Patel | Family Medicine | 1 Tech Park Dr Ste 1130, Johnstown, PA 15901-2517 | 2012-05-21 |
| 1871814624 | Richard Adam Wagner | Family Medicine | 295 County Hwy. 156, Johnstown, NY 12095-4123 | 2010-06-16 |
| 1720240112 | Jimmy Pyakurel | Family Medicine | 334 Bloomfield St Ste 205, Johnstown, PA 15904-3269 | 2008-06-27 |
| 1205007820 | Conemaugh Health Initiatives | Family Medicine | 338 Bloomfield St, Johnstown, PA 15904-3272 | 2008-03-24 |
| 1144369869 | Carol E. Kowtoniuk | Family Medicine | 226 Fairfield Ave, Johnstown, PA 15906-2310 | 2007-02-06 |
| 1861531766 | Sharon Marie Plank | Family Medicine | 1450 Scalp Ave Ste 1000, Johnstown, PA 15904-3335 | 2007-02-06 |
| 1942399134 | Cara E. Brown | Family Medicine | 473 Castle Pines Ave Ste 1, Johnstown, CO 80534-7859 | 2006-10-12 |
| 1215049762 | Richard Joseph Green IIi | Family Medicine | 213 Vine St, Johnstown, PA 15901-1518 | 2006-08-31 |
| Find all providers in JOHNSTOWN | ||||
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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.