CONEMAUGH HEALTH INITIATIVES (NPI# 1871897876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871897876 |
| Entity Type | Organization |
| Organization Name | CONEMAUGH HEALTH INITIATIVES |
| Other Organization Name | CONEMAUGH PHYSICIAN GROUP OB/GYN - DR. MALL |
| Practice Address |
1111 Franklin St Suite 230 Johnstown PA 15905-4330 |
| Mailing Address |
1086 Franklin St Johnstown PA 15905-4305 |
| Practice Telephone | 8142627980 |
| Practice Fax Number | 8142627983 |
| Mailing Telephone | 8144108300 |
| Mailing Fax Number | 8144108331 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-18 |
| Authorized Official Name | ELAINE M LAMBERT (PRESIDENT) |
| Authorized Official Telephone | 8145341630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Conemaugh Physician Group OB/Gyn - Dr. Mall | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003189838 | Conemaugh Health Initiatives | Non-Pharmacy Dispensing Site | 1609 W. Pitt St, Jennerstown, PA 15547 | 2012-02-09 |
| 1831466937 | Conemaugh Health Initiatives | Clinic/Center | 1611 W. Pitt Street, Jennerstown, PA 15547-0190 | 2011-11-18 |
| 1215179387 | Conemaugh Health Initiatives | Clinical Medical Laboratory | 6854 Route 711, Seward, PA 15954-3121 | 2009-04-03 |
| 1205007820 | Conemaugh Health Initiatives | Family Medicine | 338 Bloomfield St, Johnstown, PA 15904-3272 | 2008-03-24 |
| 1073655759 | Conemaugh Health Initiatives | Non-Pharmacy Dispensing Site | 7160 Mason Dixon Highway, Meyersdale, PA 15552 | 2007-02-12 |
| 1235208521 | Conemaugh Health Initiatives | Family Medicine | 564 Theatre Road, Carrolltown, PA 15722-7702 | 2006-11-08 |
| 1487724597 | Conemaugh Health Initiatives | Family Medicine | 4186 Cortland Drive, Box 367, New Paris, PA 15554 | 2006-11-08 |
| 1942310461 | Conemaugh Health Initiatives | Internal Medicine | 6872 Route 711, Seward, PA 15954-3121 | 2006-08-30 |
| 1508976044 | Conemaugh Health Initiatives | Internal Medicine | 941 Pinegrove Ln, Suite A, Johnstown, PA 15905-2504 | 2006-08-30 |
| 1649383951 | Conemaugh Health Initiatives | Family Medicine | 3670 Portage Street, Johnstown, PA 15946 | 2006-08-17 |
| Street Address |
1111 FRANKLIN ST SUITE 230 |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152188 | Conemaugh Health Initiatives | Internal Medicine | 1111 Franklin St, Ste 220, Johnstown, PA 15905-4330 | 2005-05-25 |
| 1851832869 | Carmen Mae Ayers | Nurse Practitioner | 1111 Franklin St, Suite 410, Johnstown, PA 15905-4330 | 2017-03-10 |
| 1639613003 | Jessica Hernandez | Nurse Practitioner | 1111 Franklin St, Suite 130, Johnstown, PA 15905-4330 | 2016-12-05 |
| 1528474541 | Jill Brant | Nurse Practitioner | 1111 Franklin St, Suite 300, Johnstown, PA 15905-4330 | 2014-07-10 |
| 1851685275 | Erin Young | Physician Assistant | 1111 Franklin St, Johnstown, PA 15905-4330 | 2011-06-02 |
| 1063715936 | Jamie Roberts Collins | Physician Assistant | 1111 Franklin St, Suite 210, Johnstown, PA 15905-4330 | 2010-12-14 |
| 1902119662 | Krista Marie Mckenzie | Physician Assistant | 1111 Franklin St, Suite 220, Johnstown, PA 15905-4330 | 2010-07-22 |
| 1396066288 | Douglas Christopher Barnas | Obstetrics & Gynecology | 1111 Franklin St, Ste 300, Johnstown, PA 15905-4330 | 2010-06-15 |
| 1396062378 | Conemaugh Health Initiatives | Clinical Medical Laboratory | 1111 Franklin St, Suite 410, Johnstown, PA 15905-4330 | 2010-04-29 |
| 1023346509 | Conemaugh Health Initiatives | Urology | 1111 Franklin St, Suite 410, Johnstown, PA 15905-4330 | 2009-11-23 |
| Find all providers in the same location | ||||
| 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 Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1639119480 | Judith K. Volkar Md, Inc. | Obstetrics & Gynecology | 348 Budfield St, Johnstown, PA 15904-3214 | 2006-06-08 |
| 1962492132 | Richard G Mckinley | Obstetrics & Gynecology | 1481 Eisenhower Blvd, Johnstown, PA 15904-3217 | 2005-10-27 |
| 1003811704 | Robert Mucciola | Obstetrics & Gynecology | 1503 Scalp Ave, Johnstown, PA 15904-3315 | 2005-06-17 |
| 1033475215 | James Cristopher Izzano | Obstetrics & Gynecology | 700 S Perry St, Johnstown Ob/gyn Health Center, Johnstown, NY 12095-3213 | 2012-04-02 |
| 1396066288 | Douglas Christopher Barnas | Obstetrics & Gynecology | 1111 Franklin St, Ste 300, Johnstown, PA 15905-4330 | 2010-06-15 |
| 1679893762 | Conemaugh Health Initiatives | Obstetrics & Gynecology | 1481 Eisenhower Blvd, Johnstown, PA 15904-3217 | 2010-06-11 |
| 1932337086 | Jihad Elias Azar | Obstetrics & Gynecology | 1111 Franklin St, Ste 300, Johnstown, PA 15905-4330 | 2009-06-29 |
| 1912114976 | Courtney Dawn Cuppett | Obstetrics & Gynecology | 1111 Franklin St, Ste 300, Johnstown, PA 15905-4330 | 2007-05-17 |
| 1982649802 | Albert K Mall Md PC | Obstetrics & Gynecology | 1111 Franklin St, Suite 230, Johnstown, PA 15905 | 2006-06-17 |
| 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.