DLP CONEMAUGH PHYSICIAN PRACTICES LLC (NPI# 1265848600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265848600 |
Entity Type | Organization |
Organization Name | DLP CONEMAUGH PHYSICIAN PRACTICES LLC |
Other Organization Name | CONEMAUGH PHYSICIAN GROUP - NEW PARIS |
Practice Address |
4186 Cortland Dr New Paris PA 15554-7706 |
Practice Telephone | 8148394108 |
Practice Fax Number | 8148394845 |
Mailing Telephone | 8148394108 |
Mailing Fax Number | 8148394845 |
Enumeration Date | 2014-07-07 |
Last Update Date | 2014-07-07 |
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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
CONEMAUGH PHYSICIAN GROUP - NEW PARIS | 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 |
4186 CORTLAND DR |
City | NEW PARIS |
State | PA |
Zip Code | 15554-7706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063419414 | Henry Shoenthal | Family Medicine | 4186 Cortland Dr, New Paris, PA 15554-7706 | 2005-06-30 |
1649838376 | Jessica Ann Simmons | Physician Assistant | 4186 Cortland Dr, New Paris, PA 15554-7706 | 2019-05-29 |
1992235329 | Victoria Lynn Regan | Physician Assistant | 4186 Cortland Dr, New Paris, PA 15554-7706 | 2017-06-18 |
1518494509 | Evangeline Hillegass | Family Medicine | 4186 Cortland Dr, New Paris, PA 15554-7706 | 2017-05-22 |
1346691813 | Matthew W Hillegass | Family Medicine | 4186 Cortland Dr, New Paris, PA 15554 | 2016-06-27 |
1588022669 | Henry W. Shoenthal, Md Inc | Family Medicine | 4186 Cortland Dr, New Paris, PA 15554-7706 | 2016-02-04 |
1386930519 | Lynn Marie Wright | Family Medicine | 4186 Cortland Dr, Box 367, New Paris, PA 15554-7706 | 2011-06-27 |
1245402593 | Amanda L Kreutzberger | Physician Assistant | 4186 Cortland Dr, New Paris, PA 15554-7706 | 2008-03-27 |
1316119860 | Tera C Yingling | Physician Assistant | 4186 Cortland Dr, New Paris, PA 15554-7706 | 2008-03-25 |
1811169360 | Timothy J Rutherford | Physician Assistant | 4186 Cortland Dr, New Paris, PA 15554-7706 | 2008-03-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952594392 | Frank A Rezk | Durable Medical Equipment & Medical Supplies | 4170 Cortland Dr, New Paris, PA 15554 | 2007-08-20 |
1487724597 | Conemaugh Health Initiatives | Family Medicine | 4186 Cortland Drive, Box 367, New Paris, PA 15554 | 2006-11-08 |
1689787020 | Conemaugh Health Initiatives | Family Medicine | 4186 Cortland Avenue, New Paris, PA 15554-7706 | 2006-08-17 |
1407808298 | William J Martyak | Physician Assistant | 4108 Cortland Dr, Box 367, New Paris, PA 15554-7706 | 2006-05-17 |
1356748883 | Denelle Diehl | Speech-Language Pathologist | 162 Rockie Dr, New Paris, PA 15554-7920 | 2014-11-26 |
1508059130 | Live Well Chiropractic, P.C. | Chiropractor | 1634 Quaker Valley Rd, New Paris, PA 15554-8509 | 2007-08-27 |
1003430216 | Aaron Twigg | Massage Therapist | 1634 Quaker Valley Rd, New Paris, PA 15554-8509 | 2020-06-03 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1053873976 | Titusville Area Hospital | Clinic/Center | 10926 State Highway 18, Conneaut Lake, PA 16316-3526 | 2019-04-01 |
1760954721 | The Carbon-schuylkill Community Hospital, Inc. | Clinic/Center | 100 W Patterson St, Suite 201, Lansford, PA 18232 | 2018-12-31 |
1548761935 | The Carbon-schuylkill Community Hospital, Inc. | Clinic/Center | 411 S Shenandoah Rd, Ringtown, PA 17967-9432 | 2018-02-22 |
1790191948 | Dlp Conemaugh Physician Practices LLC | Clinic/Center | 1609 W. Pitt St., Jennerstown, PA 15547 | 2014-07-09 |
1922429133 | Tyrone Hospital | Clinic/Center | 221 Hospital Dr Ste 6, Tyrone, PA 16686-1826 | 2013-12-16 |
1124456157 | Tyrone Hospital | Clinic/Center | 125 Spring Street, Houtzdale, PA 16651 | 2013-10-30 |
1831466937 | Conemaugh Health Initiatives | Clinic/Center | 1611 W. Pitt Street, Jennerstown, PA 15547-0190 | 2011-11-18 |
1245419639 | Pinnacle Health Partners Inc. | Clinic/Center | Hc 1 Box 2170, Tafton, PA 18464-9714 | 2007-11-01 |
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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.