Gregory A Custer, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051350 Issued in PA

Practice address

188 Industrial Park Rd
Ste B
Ebensburg, PA 15931-4107

Phone

(814) 471-9005

Fax

(814) 471-9007

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ahn Emergency Group of Indiana County, LTD

  • Emergency Medicine Physician
  • Indiana, PA
  • NPI 1821475872

  PA

  Medicare reassignment
• DLP Conemaugh Memorial Medical Center LLC

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1669873881

  PA

  Medicare reassignment
• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905

  PA

  Medicare reassignment
• DLP Conemaugh Memorial Medical Center LLC

  • Registered Dietitian
  • Johnstown, PA
  • NPI 1760154975
  NPD
• DLP Conemaugh Memorial Medical Center LLC

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  NPD
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609

  Physician Assistant

  NPD
• DLP Conemaugh Physician Practices LLC

  • Rural Health Clinic/Center
  • Ebensburg, PA
  • NPI 1356122329
  NPD
• Conemaugh Valley Memorial Hospital

  • Emergency Medicine Physician
  • Johnstown, PA
  • NPI 1346200920
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043389976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 INDUSTRIAL PARK RD",
            "address_2": "STE B",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314107",
            "telephone_number": "814-471-9005",
            "fax_number": "814-471-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 INDUSTRIAL PARK RD",
            "address_2": "STE B",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314107",
            "telephone_number": "814-471-9005",
            "fax_number": "814-471-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTER",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Cronauer, D.C.
• Jodi Rae Cronauer, D.C.
• Nicole Lynn Crowell, M.ED.
• Cynthia Cunningham
• Trenten Curtis, PT, DPT
• Katherine Jo Davis, OTR/L
• Bobbi Sue Delaney, PT
• Cassidy Rae Delusa
• Megan Elizabeth Desalvo, DPT
• Jennifer Gonos Devinney, PHARMD.

• All providers in Ebensburg, PA
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.