AMBER N CONDEZZA (NPI# 1114247608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114247608 |
| Entity Type | Individual |
| Full Name | AMBER N CONDEZZA |
| Other Name | AMBER N HAUPT |
| Credential | PA |
| Practice Address |
1 Tech Park Dr Johnstown PA 15901-2515 |
| Mailing Address |
142 Work Dr Johnstown PA 15904-3313 |
| Practice Telephone | 8144758600 |
| Mailing Telephone | 8144212102 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2015-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA053861 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 TECH PARK DR |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15901-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992709497 | Phillip Gvozden | Family Medicine | 1 Tech Park Dr, Johnstown, PA 15901-2515 | 2005-06-13 |
| 1659788412 | Lindsey Pavlikowski | Physician Assistant | 1 Tech Park Dr, Johnstown, PA 15901-2515 | 2014-07-14 |
| 1689080657 | Dlp Conemaugh Physician Practices LLC | Family Medicine | 1 Tech Park Dr, Ste. 1130, Johnstown, PA 15901-2515 | 2014-07-10 |
| 1467868307 | Dlp Conemaugh Physician Practices LLC | Family Medicine | 1 Tech Park Dr, Ste. 1120, Johnstown, PA 15901-2515 | 2014-07-10 |
| 1487060455 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 1 Tech Park Dr, Ste. 1120, Johnstown, PA 15901-2515 | 2014-07-10 |
| 1144636267 | Dlp Conemaugh Physician Practices LLC | Hospitalist | 1 Tech Park Dr, Johnstown, PA 15901-2515 | 2014-07-09 |
| 1467731646 | Shikha Tuli | Internal Medicine | 1 Tech Park Dr, Suite 1150, Johnstown, PA 15901-2515 | 2011-08-05 |
| 1487955399 | Archana Sodagam | Internal Medicine | 1 Tech Park Dr, Johnstown, PA 15901-2515 | 2010-11-09 |
| 1861643603 | Conemaugh Health Inititaves | Non-Pharmacy Dispensing Site | 1 Tech Park Dr, 1st Floor, Johnstown, PA 15901-2515 | 2008-10-09 |
| 1275736415 | Genevieve Lynn Everett | Internal Medicine | 1 Tech Park Dr, Johnstown, PA 15901-2515 | 2007-06-06 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752470 | Brooke Lynn Rhoades | Physician Assistant | 322 Warren St Ste 300, Johnstown, PA 15905-3443 | 2018-06-06 |
| 1114467677 | Erika George | Physician Assistant | 516 Indiana St, Johnstown, PA 15905-2315 | 2017-03-03 |
| 1538290614 | Colleen Shaw | Physician Assistant | 400 N Perry St, Johnstown, NY 12095-1115 | 2007-03-08 |
| 1043316870 | Thomas J Destefano | Physician Assistant | 429 Industrial Park Dr, Pbg Health and Wellness Center, Johnstown, PA 15904 | 2006-09-16 |
| 1538190996 | Meghan Bolinger | Physician Assistant | 598 Galleria Dr, Johnstown, PA 15904-8900 | 2006-07-05 |
| 1639167604 | Francis Buddy Legath | Physician Assistant | 1118 Club Dr, Johnstown, PA 15905-1914 | 2005-10-12 |
| 1568063733 | Kathryn Joanne Zohoranacky | Physician Assistant | 323 Budfield St, Johnstown, PA 15904-3213 | 2020-11-04 |
| 1487134938 | Tayler Orion Sechrengost | Physician Assistant | 348 Budfield St, Johnstown, PA 15904-3214 | 2018-08-15 |
| 1649764853 | Angela Marie Beahr | Physician Assistant | 374 Theatre Dr, Johnstown, PA 15904 | 2018-06-20 |
| 1619460722 | Jeremy M. Sotosky | Physician Assistant | 350 Budfield St, Johnstown, PA 15904-3214 | 2018-06-13 |
| 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.