DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC


Address: 1086 Franklin St, Johnstown, PA 15905-4305
Phone: 8145349106

DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC (NPI# 1669873881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669873881
Entity Type Organization
Organization Name DLP CONEMAUGH MEMORIAL MEDICAL CENTER LLC
Practice Address 1086 Franklin St
Johnstown
PA 15905-4305
Mailing Address 330 Seven Springs Way
Atten: Provider Enrollment
Brentwood
TN 37027-5098
Practice Telephone 8145349106
Practice Fax Number 8145343136
Mailing Telephone 6159207000
Mailing Fax Number 6159208775
Enumeration Date 2014-09-07
Last Update Date 2019-03-11
Authorized Official Name SHARLEE LEBLEU (SR. DIRECTOR PROVIDER ENROLLMENT)
Authorized Official Telephone 6159207000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
N 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
Allopathic & Osteopathic Physicians
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952968513 Dlp Conemaugh Memorial Medical Center LLC Health Educator 320 Main St Ste 140, Johnstown, PA 15901-1601 2019-05-20
1457354672 Dlp Conemaugh Memorial Medical Center LLC Home Health 315 Locust St, First Floor Suite, Johnstown, PA 15901-1651 2005-05-23
1538562665 Dlp Conemaugh Memorial Medical Center LLC Emergency Medicine 1086 Franklin St, Johnstown, PA 15905-4305 2014-10-03
1649671348 Dlp Conemaugh Memorial Medical Center LLC Anesthesiology 1086 Franklin St, Johnstown, PA 15905-4305 2014-09-12
1598899387 Dlp Conemaugh Memorial Medical Center LLC Pharmacy 1086 Franklin St, Pharmacy Department, Johnstown, PA 15905-4305 2007-03-15
1215000872 Dlp Conemaugh Memorial Medical Center LLC Clinic/Center 320 Main Street, Johnstown, PA 15901-4305 2006-11-15
1598842627 Dlp Conemaugh Memorial Medical Center LLC Clinic/Center 1086 Franklin St, Johnstown, PA 15905-4305 2006-11-01
1164509261 Dlp Conemaugh Memorial Medical Center LLC Skilled Nursing Facility 320 Main St, Johnstown, PA 15901-1601 2006-11-01
1780769620 Dlp Conemaugh Memorial Medical Center LLC Clinic/Center 1086 Franklin St, Johnstown, PA 15905-4305 2006-10-26
1053496893 Dlp Conemaugh Memorial Medical Center LLC Psychiatric Unit 1020 Franklin St, 8th Floor, Johnstown, PA 15905-4109 2006-10-26

Office Location

Street Address 1086 FRANKLIN ST
City JOHNSTOWN
State PA
Zip Code 15905-4305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051440 Conemaugh Health Initiatives Anesthesiology 1086 Franklin St, Ste A401, Johnstown, PA 15905-4305 2005-05-23
1245838010 Kristen Chislow Registered Nurse 1086 Franklin St, Johnstown, PA 15905-4305 2020-10-14
1043818032 Derick Mostoller Registered Nurse 1086 Franklin St, Johnstown, PA 15905-4305 2020-10-13
1891301776 Karen Richtar Physician Assistant 1086 Franklin St, Johnstown, PA 15905-4305 2020-09-16
1942819149 Asfand Yar Butt Internal Medicine 1086 Franklin St, Johnstown, PA 15905-4305 2020-07-24
1285243535 Muhammad Naqvi Family Medicine 1086 Franklin St, Johnstown, PA 15905-4305 2020-07-23
1245849405 Steven William Davie Internal Medicine 1086 Franklin St, Johnstown, PA 15905-4305 2020-07-23
1871102038 Shehbaz Ahmad Internal Medicine 1086 Franklin St, Johnstown, PA 15905-4305 2020-07-23
1467061606 Iyad Aljadba Internal Medicine 1086 Franklin St, Johnstown, PA 15905-4305 2020-07-23
1396353686 Symaya Hoque Family Medicine 1086 Franklin St, Johnstown, PA 15905-4305 2020-07-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528552445 Kristina Marie Sloan Registered Nurse Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 2018-06-15
1376921403 Joel Edward Messom Obstetrics & Gynecology 1111 Franklin St Ste 300, Johnstown, PA 15905 2015-05-08
1497091797 Jessica Pacsai Occupational Therapist 807 Goucher Street, Johnstown, PA 15905 2012-12-14
1225396351 Lusine Mesropyan Surgery 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 2012-04-26
1467766931 Kimberly Buchanan Speech-Language Pathologist 787 Goucher Street, Johnstown, PA 15905 2010-07-27
1205149846 Lighthouse Medical, LLC Clinic/Center 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 2010-07-26
1932357878 Michael Cameron Sleet Surgery Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 2008-09-04
1255528543 Assisted Living Concepts Inc Assisted Living Facility 500 Cheney Oaks Drive, Johnstown, PA 15905 2007-10-01
1578766648 Tamera Waggle Nurse Anesthetist, Certified Registered 1186 Franklin St., Johnstown, PA 15905 2007-06-07
1821206178 Blue and Green Medical PC Internal Medicine 1743 Goucher Street, Johnstown, PA 15905 2007-05-18
Find all providers in zip 15905

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City JOHNSTOWN
Zip Code 15905

Improve Information

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Dataset Information

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.

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