DLP CONEMAUGH PHYSICIAN PRACTICES LLC (NPI# 1932515905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932515905 |
| Entity Type | Organization |
| Organization Name | DLP CONEMAUGH PHYSICIAN PRACTICES LLC |
| Other Organization Name | CONEMAUGH PHYSICIAN GROUP CRESSON |
| Practice Address |
815 2nd St Cresson PA 16630-1141 |
| Practice Telephone | 8148862911 |
| Practice Fax Number | 8148868929 |
| Mailing Telephone | 8148862911 |
| Mailing Fax Number | 8148868929 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CONEMAUGH PHYSICIAN GROUP CRESSON | 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 |
815 2ND ST |
| City | CRESSON |
| State | PA |
| Zip Code | 16630-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125792 | Donald F Ratchford | Family Medicine | 815 2nd St, Cresson, PA 16630-1141 | 2005-06-28 |
| 1912435322 | Amber Rose Maruca | Physician Assistant | 815 2nd St, Cresson, PA 16630-1141 | 2017-05-30 |
| 1780026385 | Terry Jean Nesmith | Registered Nurse | 815 2nd St, Cresson, PA 16630-1141 | 2013-07-24 |
| 1538508890 | Conemaugh Health Initiatives | Family Medicine | 815 2nd St, Cresson, PA 16630-1141 | 2013-06-20 |
| 1790931533 | Robin L Munoz | Nurse Practitioner | 815 2nd St, Cresson, PA 16630-1141 | 2008-08-12 |
| 1871554691 | Karl F Stine | Emergency Medicine | 815 2nd St, Cresson, PA 16630-1141 | 2006-03-31 |
| 1972564839 | Gilfred C Ubina | Emergency Medicine | 815 2nd St, Cresson, PA 16630-1141 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740490291 | Heide Sedwick | Psychologist | 511 C Front Street, Cresson, PA 16630 | 2007-05-23 |
| 1639178437 | Patrick K. Lenz | Family Medicine | 792 Gallitzin Road, Cresson, PA 16630 | 2005-07-14 |
| 1275816001 | Danette George | Physician Assistant | 792 Gallitzin Road, Cresson, PA 16630 | 2011-09-28 |
| 1225008519 | Lawrence R. Stem | Family Medicine | 792 Gallitzin Road, Cresson, PA 16630 | 2006-01-26 |
| 1760452023 | Mitchell W Joseph | Family Medicine | 792 Gallitzin Road, Cresson, PA 16630 | 2006-01-26 |
| 1962813170 | Stephen Tomlinson | Behavioral Analyst | 310 North Ave, Cresson, PA 16630-1000 | 2014-05-12 |
| 1811291081 | Jesika Sue Leleck | Counselor | 1518 W 2nd St Apt 3, Cresson, PA 16630-1022 | 2011-01-03 |
| 1275148363 | Alicia Jean Shedlock | Nurse Practitioner | 530 Gwinn Ave, Cresson, PA 16630-1056 | 2020-09-15 |
| 1316347941 | Mainline Vision and Eye Wear LLC | Eyewear Supplier (Equipment, not the service) | 701 Front St, Cresson, PA 16630-1114 | 2014-09-02 |
| 1639465164 | Ashley Marie Mastrine | Optometrist | 701 Front St, Cresson, PA 16630-1114 | 2011-06-23 |
| Find all providers in zip 16630 | ||||
| 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 |
|---|---|---|---|---|
| 1285604561 | Stephanie S Young | Family Medicine | 792 Gallitzin Rd, Cresson, PA 16630-2213 | 2006-01-26 |
| 1639178437 | Patrick K. Lenz | Family Medicine | 792 Gallitzin Road, Cresson, PA 16630 | 2005-07-14 |
| 1134125792 | Donald F Ratchford | Family Medicine | 815 2nd St, Cresson, PA 16630-1141 | 2005-06-28 |
| 1316394604 | Lindsay Marie Brescia | Family Medicine | 792 Gallitzin Rd, Cresson, PA 16630-2213 | 2016-05-17 |
| 1538508890 | Conemaugh Health Initiatives | Family Medicine | 815 2nd St, Cresson, PA 16630-1141 | 2013-06-20 |
| 1083879860 | Christopher Lynn Aaron | Family Medicine | 792 Gallitzin Rd, Cresson, PA 16630-2213 | 2008-07-22 |
| 1376613489 | Conemaugh Health Initiatives | Family Medicine | 225 Keystone Ave, Cresson, PA 16630-1214 | 2006-11-08 |
| 1770696163 | Conemaugh Health Initiatives | Family Medicine | 225 Keystone Ave, Cresson, PA 16630-1214 | 2006-08-17 |
| 1225008519 | Lawrence R. Stem | Family Medicine | 792 Gallitzin Road, Cresson, PA 16630 | 2006-01-26 |
| 1710957097 | Dawn M Repko | Family Medicine | 792 Gallitzin Rd, Cresson, PA 16630-2213 | 2006-01-26 |
| Find all providers in CRESSON | ||||
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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.