NEELUM MITTAL (NPI# 1639366644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639366644 |
| Entity Type | Individual |
| Full Name | NEELUM MITTAL |
| Credential | MD |
| Practice Address |
240 Stardust Dr Johnstown PA 15904-3066 |
| Practice Telephone | 8142480968 |
| Mailing Telephone | 8142480968 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2013-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D73848 | MD | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MT190120 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 054872300 | 05 |
| Street Address |
240 STARDUST DR |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15904-3066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407368699 | Shari Mcclaren | Counselor | 1360 Eisenhower Blvd, Ste 404, Johnstown, PA 15904 | 2017-10-29 |
| 1881126928 | Pain Medicine of York, LLC | Anesthesiology | 136 Jaycee Dr Ste 10, Johnstown, PA 15904 | 2017-03-29 |
| 1841660750 | Danielle Nicole Malzi | Occupational Therapist | 222 Luray Avenue, Johnstown, PA 15904 | 2015-10-05 |
| 1710393715 | Dlp Conemaugh Physician Practices LLC | Internal Medicine | 622 Dermuth St., Johnstown, PA 15904 | 2014-07-10 |
| 1043582406 | Bonifacio Tan Aguilera | Family Medicine | 307 Terlyn Drive, Johnstown, PA 15904 | 2012-02-01 |
| 1508159021 | Patricia S Sauka | Social Worker | 865 Eisenhower Boulevard, Johnstown, PA 15904 | 2011-05-17 |
| 1962703520 | Nathaniel Brett Beatty | Audiologist-Hearing Aid Fitter | 141 Town Center Drive, Johnstown, PA 15904 | 2010-11-12 |
| 1831324607 | Medcare Equipment Company, LLC | Durable Medical Equipment & Medical Supplies | 150 Atlantic Street, Johnstown, PA 15904 | 2009-05-22 |
| 1467667766 | Mary Alice K Burtnett | Occupational Therapist | 345 Vo Tech Drive, Johnstown, PA 15904 | 2007-05-11 |
| 1871717280 | Beverly Janik | Counselor | 214 College Park Plaza, Johnstown, PA 15904 | 2007-04-13 |
| Find all providers in zip 15904 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316108731 | Peter Andrew Lowry | Radiology | 4795 Larimer Pkwy, Johnstown, CO 80534-9021 | 2008-06-18 |
| 1073709531 | Owen Stark | Radiology | 1086 Franklin St, Johnstown, PA 15905-4305 | 2007-09-19 |
| 1457572042 | Michelle Lee Cacek | Radiology | 1086 Franklin St, Johnstown, PA 15905-4305 | 2007-05-01 |
| 1720100100 | Samir Elie Kodsi | Radiology | 1086 Franklin St, Radiology Dept, Johnstown, PA 15905-4305 | 2007-04-04 |
| 1699827295 | William T Herbick | Radiology | 1086 Franklin St, Johnstown, PA 15905-4305 | 2007-01-17 |
| 1467504068 | Patrick W Wolfe | Radiology | 1086 Franklin St, Johnstown, PA 15905-4305 | 2007-01-17 |
| 1326190935 | W Theodore Corey | Radiology | 1086 Franklin St, Johnstown, PA 15905-4305 | 2007-01-17 |
| 1073665667 | Michael S Hahm | Radiology | 1086 Franklin St, Johnstown, PA 15905-4305 | 2007-01-17 |
| 1316099054 | Gary S Kramer | Radiology | 1086 Franklin St, Johnstown, PA 15905-4305 | 2007-01-16 |
| 1093867749 | Kiet A Hoang | Radiology | 1086 Franklin St, Johnstown, PA 15905-4305 | 2007-01-16 |
| 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.