DLP CONEMAUGH PHYSICIAN PRACTICES LLC (NPI# 1124434162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124434162 |
| Entity Type | Organization |
| Organization Name | DLP CONEMAUGH PHYSICIAN PRACTICES LLC |
| Other Organization Name | CHI MASTRINE |
| Practice Address |
171 Lovell Ave Lovell Park Professional Building Ebensburg PA 15931-1855 |
| Practice Telephone | 8144724090 |
| Mailing Telephone | 8144724090 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| Authorized Official Name | JESS N JUDY (PRESIDENT) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CHI MASTRINE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1376959213 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 139 Cook Rd Ste 140, Ebensburg, PA 15931 | 2014-07-10 |
| 1790191948 | Dlp Conemaugh Physician Practices LLC | Clinic/Center | 1609 W. Pitt St., Jennerstown, PA 15547 | 2014-07-09 |
| 1164838512 | Dlp Conemaugh Physician Practices LLC | Nurse Practitioner | 1291 N Center Ave, Somerset, PA 15501-1630 | 2014-07-07 |
| 1245742188 | Dlp Conemaugh Physician Practices LLC | Emergency Medicine | 1086 Franklin St, Johnstown, PA 15905-4305 | 2017-11-01 |
| 1982098927 | Dlp Conemaugh Physician Practices LLC | Family Medicine | 236 Jamesway Rd, Ebensburg, PA 15931-4207 | 2015-03-27 |
| 1184025876 | Dlp Conemaugh Physician Practices LLC | Physician Assistant | 1086 Franklin St, Johnstown, PA 15905-4305 | 2014-09-12 |
| 1760883656 | Dlp Conemaugh Physician Practices LLC | Durable Medical Equipment & Medical Supplies | 1020 Franklin St, Johnstown, PA 15905-4109 | 2014-09-10 |
| 1689080657 | Dlp Conemaugh Physician Practices LLC | Family Medicine | 1 Tech Park Dr, Ste. 1130, Johnstown, PA 15901-2515 | 2014-07-10 |
| 1457767394 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 1020 Franklin St, Ste 202, Johnstown, PA 15905-4109 | 2014-07-10 |
| Street Address |
171 LOVELL AVE LOVELL PARK PROFESSIONAL BUILDING |
| City | EBENSBURG |
| State | PA |
| Zip Code | 15931-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386645877 | Larry R Mastrine | Internal Medicine | 171 Lovell Ave, Lovell Park Professional Building, Ebensburg, PA 15931-1855 | 2005-08-09 |
| 1790190262 | Megan Kulish | Counselor | 171 Lovell Ave, Suite 103, Ebensburg, PA 15931-1855 | 2014-06-24 |
| 1992037006 | Adams & Associates Counseling Services, PC | Social Worker | 171 Lovell Ave, Suite 103, Ebensburg, PA 15931-1855 | 2010-02-01 |
| 1760556849 | Philip M Woo Jr Dmd PC | Dentist | 171 Lovell Ave, Suite 101, Ebensburg, PA 15931 | 2006-11-20 |
| 1104904515 | Philip M Woo Jr. | Dentist | 171 Lovell Ave, Suite 101, Ebensburg, PA 15931 | 2006-11-02 |
| 1124130851 | Conemaugh Health Initiatives | Internal Medicine | 171 Lovell Ave, Lovell Park Professiional Bldg., Ebensburg, PA 15931-1855 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245751288 | From The Heart Penn State | Home Health | 2354 Colver Road, Ebensburg, PA 15931 | 2017-06-29 |
| 1154722304 | Brenda Lee Stewart-bezilla | Specialist | 429 Manor Drive, Ebensburg, PA 15931 | 2014-09-08 |
| 1376959213 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 139 Cook Rd Ste 140, Ebensburg, PA 15931 | 2014-07-10 |
| 1083990220 | Brian J Sidone | Counselor | 3720 New Germany Rd, Ebensburg, PA 15931 | 2011-11-02 |
| 1508158643 | Ibrahim Mustafa Altubasi | Physical Therapist | 3053 New Germany Road, Ebensburg, PA 15931 | 2011-05-09 |
| 1710281381 | Samantha R Snowberger | Counselor | 499 Manor Dr, Ebensburg, PA 15931 | 2010-12-22 |
| 1003090416 | Robert Regis Maruca | Dentist | 300 W Highland Ave, Ebensburg, PA 15931 | 2007-12-20 |
| 1346375466 | Danna Johnson | Pharmacist | 4501 William Penn Highway, Ebensburg, PA 15931 | 2007-02-22 |
| 1811094352 | Bruce Allen Felix | Optometrist | 300 Wal-mart Drive, The Vision Center, Ebensburg, PA 15931 | 2006-09-19 |
| 1255440947 | Errol Dudley Henriques | General Practice | 519 North Caroline Street, Ebensburg, PA 15931 | 2006-08-29 |
| Find all providers in zip 15931 | ||||
| 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 |
|---|---|---|---|---|
| 1720095458 | Krishen Kesav Nayak | Family Medicine | 4501 Admiral Peary Highway, Ebensburg Center, Ebensburg, PA 15931-0600 | 2006-08-02 |
| 1295766962 | Anton Omer Skerl | Family Medicine | 399 Municipal Rd, Ebensburg, PA 15931-7612 | 2006-07-05 |
| 1770522237 | Robert F Cosharek | Family Medicine | 4501 Admiral Peary Hwy, Ebensburg, PA 15931-4332 | 2006-06-06 |
| 1104482587 | Lieb Family Practice Inc | Family Medicine | 188 Industrial Park Rd Ste B, Ebensburg, PA 15931-4125 | 2019-05-12 |
| 1982098927 | Dlp Conemaugh Physician Practices LLC | Family Medicine | 236 Jamesway Rd, Ebensburg, PA 15931-4207 | 2015-03-27 |
| 1831505981 | Dlp Conemaugh Physician Practices LLC | Family Medicine | 188 Industrial Park Rd, Ste. B, Ebensburg, PA 15931-4125 | 2014-07-09 |
| 1467882373 | Conemaugh Health Initiatives | Family Medicine | 188 Industrial Park Rd, Suite B, Ebensburg, PA 15931-4125 | 2013-11-14 |
| 1023205929 | Magley Family Practice, Inc | Family Medicine | 1100 W High St, Ebensburg, PA 15931-1706 | 2007-09-25 |
| 1295952828 | Robert C Magley, Md, PC | Family Medicine | 1100 W High St, Ebensburg, PA 15931-1706 | 2007-04-18 |
| 1801992151 | Warner Family Medicine PC | Family Medicine | 188 Industrial Park Rd, Ste B 1, Ebensburg, PA 15931 | 2006-09-15 |
| Find all providers in EBENSBURG | ||||
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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.