James M Koban (NPI# 1174589857, PAC ID# 6800994450) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1174589857 |
| PAC ID by PECOS | 6800994450 |
| Professional Enrollment ID | I20070606000321 |
| Full Name | James M Koban |
| Organization Legal Name | BEDFORD SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES |
| Address |
245 W Race St Somerset PA 15501-1922 |
| Phone Number | 8144434891 |
| Gender | M |
| Credential | MD |
| Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 6800834912 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390039 | SOMERSET HOSPITAL |
| 390112 | WINDBER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 336 Bloomfield St, Suite 203, Johnstown, PA 15904-3271 | 8142663196 | CROYLE-NIELSEN THERAPEUTIC ASSOCIATES INC |
| 245 W Race St, Somerset, PA 15501-1922 | 8144434891 | BEDFORD SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES |
| Organization Legal Name | BEDFORD SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Quentin R Dolphin | Psychiatry | Bedford Somerset Developmental and Behavioral Health Services | 1243 Shed Rd, Bedford, PA 15522-8584 |
| Ivona E Bendkowska | Psychiatry | Bedford Somerset Developmental and Behavioral Health Services | 245 W Race St, Somerset, PA 15501-1922 |
| Barbara Smucker | Psychiatry | Bedford Somerset Developmental and Behavioral Health Services | 245 W Race St, Somerset, PA 15501-1922 |
| Beth A Bollinger | Psychiatry | Bedford Somerset Developmental and Behavioral Health Services | 245 W Race St, Somerset, PA 15501-1922 |
| Edwin Tan | Psychiatry | Bedford Somerset Developmental and Behavioral Health Services | 245 W Race St, Somerset, PA 15501-1922 |
| Street Address |
245 W RACE ST |
| City | SOMERSET |
| State | PA |
| Zip | 15501-1922 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ivona E Bendkowska | Psychiatry | Bedford Somerset Developmental and Behavioral Health Services | 245 W Race St, Somerset, PA 15501-1922 |
| Barbara Smucker | Psychiatry | Bedford Somerset Developmental and Behavioral Health Services | 245 W Race St, Somerset, PA 15501-1922 |
| Beth A Bollinger | Psychiatry | Bedford Somerset Developmental and Behavioral Health Services | 245 W Race St, Somerset, PA 15501-1922 |
| Edwin Tan | Psychiatry | Bedford Somerset Developmental and Behavioral Health Services | 245 W Race St, Somerset, PA 15501-1922 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward L Haberman | Psychologist, Clinical | 1101 W Main St, Somerset, PA 15501-0914 | |
| Anthony J Giampolo | Neurology | 792 N Ctr Ave, Somerset, PA 15501-1026 | |
| Tanya Sargent | Nurse Practitioner | Dlp Conemaugh Physician Practices LLC | 4324 Glades Pike, Somerset, PA 15501-1143 |
| Christopher M Ciccarelli | Family Medicine | Dlp Conemaugh Physician Practices LLC | 4324 Glades Pike, Somerset, PA 15501-1143 |
| John T Brennan | Family Medicine | Dlp Conemaugh Physician Practices LLC | 4324 Glades Pike, Somerset, PA 15501-1143 |
| Dariusz R Pierko | Family Medicine | Dlp Conemaugh Physician Practices LLC | 4324 Glades Pike, Somerset, PA 15501-1143 |
| Lee T Dirienzo | Physician Assistant | Dlp Conemaugh Physician Practices LLC | 4324 Glades Pike, Somerset, PA 15501-1143 |
| Ronald Justin Beal | Clinical Social Worker | 445 Westridge Rd, Suite 103, Somerset, PA 15501-1148 | |
| Julie M Huston | Certified Nurse Midwife (cnm) | 867 W Main St, Somerset, PA 15501-1235 | |
| David C Rascona | Physical Therapy | Rascona Physical Therapy LLC | 917 W Main St, Somerset, PA 15501-1247 |
| Find all physicians in zip 15501 | |||
| City | SOMERSET |
| Zip Code | 15501 |
| Specialty | PSYCHIATRY |
| City + Specialty | SOMERSET + PSYCHIATRY |
Please comment or provide details below to improve the information on James M Koban.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.