NPIMap

Individual provider Active NPI

Jacob Stern, DO

  • Emergency Medicine Physician
  • Johnstown, PA
National Provider Identifier
1073135562
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OT019819 Issued in PA
Practice address
1086 Franklin St
Johnstown, PA 15905-4305
Phone
(814) 534-3745
Fax
(814) 534-5677
NPI assigned
May 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT019819 PA Primary

Addresses

Primary practice location

1086 Franklin St
Johnstown, PA 15905-4305

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-3745

Other practice location 1

214 Peach Orchard Rd
Mc Connellsburg, PA 17233-8559
Phone (717) 485-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220527001335 PA Practitioner - Emergency Medicine 0143643924 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 Hospital Dr
Meyersdale, PA 15552-1249
Phone (814) 539-8725

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jul 1, 2022 Accepting new patients
Nason Physician Practices LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jul 1, 2022 Accepting new patients
Fulton County Medical Center CurrentSince Mar 15, 2024 Accepting new patients
Nason Physician Practices LLC Emergency Medicine Current Accepting new patients
Fulton County Medical Center CurrentSince Mar 15, 2024 Accepting new patients
DLP Conemaugh Miners Medical Center LLC Current Accepting new patients
Fulton County Medical Center Past Accepting new patients
Fulton County Medical Center Past Accepting new patients

Locations

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

200 Hospital Dr
Meyersdale, PA 15552
Phone (814) 634-5911

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

104 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-5455

Interoperability endpoints

  • Direct secure messaging: jstern39343@direct.conemaugh.org

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1073135562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-3745",
            "fax_number": "814-534-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-534-3745",
            "fax_number": "814-534-5677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Peach Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Connellsburg",
            "state": "PA",
            "postal_code": "172338559",
            "country_code": "US",
            "telephone_number": "717-485-3155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERN",
        "first_name": "JACOB",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT019819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.