SALLY DICK (NPI# 1376741835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376741835 |
| Entity Type | Individual |
| Full Name | SALLY DICK |
| Credential | MD |
| Practice Address |
401 Broad St Johnstown PA 15906-2716 |
| Practice Telephone | 8145356000 |
| Mailing Telephone | 8145356000 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD008968E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
401 BROAD ST |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15906-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063445369 | Senior Life Johnstown, Inc. | Clinic/Center | 401 Broad St, Johnstown, PA 15906-2716 | 2006-07-09 |
| 1497354393 | Sherry Lynn Custer | Registered Nurse | 401 Broad St, Johnstown, PA 15906-2745 | 2020-10-21 |
| 1558968339 | Jodie Schatz | Registered Nurse | 401 Broad St, Johnstown, PA 15906-2745 | 2020-10-05 |
| 1659987261 | Amanda Sue Meagher | Registered Nurse | 401 Broad St, Johnstown, PA 15906-2745 | 2020-09-18 |
| 1720605108 | Dorothy Marie Bowser | Licensed Practical Nurse | 401 Broad St, Johnstown, PA 15906-2745 | 2020-07-01 |
| 1063039972 | Ashley Ann Hasson | Nurse Practitioner | 401 Broad St, Johnstown, PA 15906-2745 | 2020-06-26 |
| 1518587062 | Aaron Scott Lanzendorfer | Occupational Therapy Assistant | 401 Broad St, Johnstown, PA 15906-2745 | 2020-04-24 |
| 1225663115 | Lisa Jane Wadsworth | Social Worker | 401 Broad St, Johnstown, PA 15906-2745 | 2020-03-11 |
| 1174156509 | Barbara Ann Cowan | Registered Nurse | 401 Broad St, Johnstown, PA 15906-2745 | 2020-02-13 |
| 1891338877 | Rebecca Marie Rakes | Registered Nurse | 401 Broad St, Johnstown, PA 15906-2716 | 2019-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861746844 | Nancy J Gilbert | Registered Nurse | 401 Broad Street, Johnstown, PA 15906 | 2012-10-30 |
| 1689727273 | Laurel Highlands Neuro-rehabilitation | Psychologist | 111a Roosevelt Boulevard, Johnstown, PA 15906 | 2007-01-19 |
| 1124107503 | Robert Joseph Bimeal Jr. | Pharmacist | 150 Fairfield Ave, Johnstown, PA 15906 | 2006-11-04 |
| 1487179255 | Jill Anne Clark | Social Worker | 401 Broad Street, Johnstown, PA 15906 | 2017-08-13 |
| 1659720399 | Melissa Melikant | Registered Nurse | 401 Broad Street, Johnstown, PA 15906 | 2016-06-03 |
| 1003013202 | Amanda Ann Gorzelsky | Pharmacist | 1086 Franklin Street, Johnstown, PA 15906 | 2007-06-29 |
| 1972643336 | Walter V Kowtoniuk | Family Medicine | 226 Fairfield Ave, Johnstown, PA 15906 | 2007-02-07 |
| 1538385349 | Peniel Ministries | Substance Abuse Rehabilitation Facility | 760 Cooper Ave, Johnstown, PA 15906-1033 | 2007-04-18 |
| 1427301829 | Peniel Ministry | Substance Abuse Rehabilitation Facility | 760 Cooper Ave, Johnstown, PA 15906-1033 | 2012-10-23 |
| 1558927731 | Sarah Joy Smith | Social Worker | 579 Dorothy Ave, Johnstown, PA 15906-1456 | 2019-05-14 |
| Find all providers in zip 15906 | ||||
| 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 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 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 |
| 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.