Active NPI
Erin Lynn Martella, PA-C
- Physician Assistant
- Johnstown, PA
National Provider Identifier
1063645034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA053858
- Practice address
- 1450 Scalp Ave
Suite 106
Johnstown, PA 15904-3321 - Phone
- (814) 266-8466
- Fax
- (814) 266-0177
- NPI assigned
- Aug 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA053858 | PA | Primary |
Addresses
Primary practice location
1450 Scalp Ave
Suite 106
Johnstown, PA 15904-3321
Mailing address
1450 Scalp Ave
Suite 106
Johnstown, PA 15904-3321
Phone (814) 266-8466
Other names 1
- Erin Lynn McQuaide
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA053858 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Physician Assistant | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
Physician Assistant
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436400000000",
"number": "1063645034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 SCALP AVE",
"address_2": "SUITE 106",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043321",
"telephone_number": "814-266-8466",
"fax_number": "814-266-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 SCALP AVE",
"address_2": "SUITE 106",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043321",
"telephone_number": "814-266-8466",
"fax_number": "814-266-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTELLA",
"first_name": "ERIN",
"middle_name": "LYNN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-25",
"last_updated": "2015-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA053858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "MCQUAIDE",
"middle_name": "LYNN",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.