Michael L Humphrey, D.O.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

OS008403L Issued in PA

Practice address

1414 9TH Ave
Station Medical Center
Altoona, PA 16602-2454

Phone

(814) 946-1655

Fax

(814) 949-7616

NPI assigned

Jan 5, 2006

Last updated

Apr 20, 2012By the provider in NPPES

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

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DLP Conemaugh Physician Practices LLC

  dba Conemaugh Physician Group Cresson

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  Medicare reassignment NPD
• Upmc Altoona

  dba Williamsburg Family Practice

  • General Acute Care Hospital
  • Williamsburg, PA
  • NPI 1437100765
  Medicare reassignment NPD
• Upmc Altoona

  dba Altoona Family Physicians

  • General Acute Care Hospital
  • Altoona, PA
  • NPI 1487604179
  Medicare reassignment NPD
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609

  Endocrinology, Diabetes & Metabolism

  NPD
• DLP Conemaugh Physician Practices LLC

  dba CHI Pruchnic

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1457767394
  NPD
• Upmc Altoona

  • Ambulatory Surgical Clinic/Center
  • Altoona, PA
  • NPI 1114926953
  NPD
• Windber Hospital, Inc.

  dba Windber Medical Center

  • 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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1093793572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 9TH AVE",
            "address_2": "STATION MEDICAL CENTER",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022454",
            "telephone_number": "814-946-1655",
            "fax_number": "814-949-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 9TH AVE",
            "address_2": "STATION MEDICAL CENTER",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166022454",
            "telephone_number": "814-946-1655",
            "fax_number": "814-949-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "OS008403L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001464990001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph J Huang, M.D.
• Kendall M Hudy, PA-C
• Beverly Ann Huff, MA
• Shannon L Hughes, CRNP
• Tammy L Hughes, RN
• Peggy Sue Hutton, PA-C
• Michael G Hyde, O.D.
• Hyperbaric & Wound Care Services, Co
• Brianna C. Iachini, MOT, OTR/L
• Joseph Imler-Knisely, RN

• Endocrinology, Diabetes & Metabolism Physician in Altoona, PA
• Providers in Altoona, PA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.