DLP CONEMAUGH PHYSICIAN PRACTICES LLC (NPI# 1427464874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427464874 |
| Entity Type | Organization |
| Organization Name | DLP CONEMAUGH PHYSICIAN PRACTICES LLC |
| Other Organization Name | CONEMAUGH PHYSICIAN GROUP - PORTAGE |
| Practice Address |
3670 Portage St Ste 105 Portage PA 15946-6546 |
| Practice Telephone | 8147369614 |
| Practice Fax Number | 8147369783 |
| Mailing Telephone | 8147369614 |
| Mailing Fax Number | 8147369783 |
| 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 - PORTAGE | 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 |
3670 PORTAGE ST STE 105 |
| City | PORTAGE |
| State | PA |
| Zip Code | 15946-6546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174528228 | John Karduck | Family Medicine | 3670 Portage St, Ste 105, Portage, PA 15946-6546 | 2005-06-16 |
| 1699025320 | Monica Updyke | Nurse Practitioner | 3670 Portage St, Portage, PA 15946-6546 | 2012-09-10 |
| 1134256415 | Conemaugh Health Initiatives | Clinical Medical Laboratory | 3670 Portage St, Suite 105, Portage, PA 15946-6546 | 2007-02-27 |
| 1821130535 | Conemaugh Health Initiatives | Non-Pharmacy Dispensing Site | 3670 Portage St, Suite 105, Portage, PA 15946-6546 | 2007-02-12 |
| 1043357577 | Susan Berardinelli | Physician Assistant | 3670 Portage St, Portage, PA 15946-6546 | 2007-02-01 |
| 1710056015 | Conemaugh Health Initiatives | Family Medicine | 3670 Portage St, Portage, PA 15946-6546 | 2006-11-08 |
| 1134113368 | Amina Shikara | Family Medicine | 3670 Portage St, Portage, PA 15946-6546 | 2005-09-02 |
| 1669479101 | Mark J Ratchford | Family Medicine | 3670 Portage St, Portage, PA 15946-6546 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127989 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 800 High Street, Portage, PA 15946 | 2019-07-25 |
| 1649824947 | Alternative Community Resource Program, Inc. | Community/Behavioral Health | 700 Meade Street, Portage, PA 15946 | 2019-07-25 |
| 1770601247 | Marcie A. Kovalsky | Speech-Language Pathologist | 514 Orchard Street, Portage, PA 15946 | 2007-03-26 |
| 1790849875 | Donald E Nagy | Dentist | 716 Cambria St, Portage, PA 15946 | 2006-12-21 |
| 1649383951 | Conemaugh Health Initiatives | Family Medicine | 3670 Portage Street, Johnstown, PA 15946 | 2006-08-17 |
| 1851397707 | Maple Winds Care Center Co. LLC | Skilled Nursing Facility | 4112 Springhill Road, Portage, PA 15946 | 2005-06-24 |
| 1952436503 | Portage Area Ambulance Association | Ambulance | 655 North Railroad Ave, Portage, PA 15946-0237 | 2007-02-23 |
| 1942860556 | Ryan Thomas Scoran | Physical Therapist | 900 Orange Ave Ste 1, Portage, PA 15946-1103 | 2019-06-17 |
| 1598852402 | Joshua Thomas Madison | Physical Therapist | 900 Orange Ave, Suite 1, Portage, PA 15946-1103 | 2006-10-10 |
| 1245671189 | Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | 900 Orange Ave, Suite 1, Portage, PA 15946-1103 | 2013-07-08 |
| Find all providers in zip 15946 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1386154417 | Divine Savior Healthcare, Inc. | Clinic/Center | 2817 New Pinery Road, Portage, WI 53901-0387 | 2017-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266029 | Upmc Kane | Clinic/Center | 511 South Main Street, Sheffield, PA 16347 | 2020-08-17 |
| 1174176796 | Cornerstone Coordinated Health Care, LLC | Clinic/Center | 2114 Centre St, Ashland, PA 17921-1015 | 2019-07-23 |
| 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.