James Mendillo, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA000507L Issued in PA

Practice address

1450 Scalp Ave Ste 106
Johnstown, PA 15904-3340

Phone

(814) 266-8466

Fax

(724) 527-9370

NPI assigned

Jun 2, 2006

Last updated

Jul 13, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609

  Physician Assistant

  NPD (past)
• Seton Emergency Physicians

  • Emergency Medicine Physician
  • Jeannette, PA
  • NPI 1386693943

  Physician Assistant

  NPD (past)
• 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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436745600000",
    "number": "1174561419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 FRIEDA AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159023309",
            "telephone_number": "814-266-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SCALP AVE STE 106",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043340",
            "telephone_number": "814-266-8466",
            "fax_number": "724-527-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDILLO",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2015-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA000507L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talha Mehmood, M.D.
• Janet Elaine Melikant, OTR/L
• Melissa Melikant
• Memorial Medical Center
• Memorial Medical Center
• Menoher Heights Vol Fire Dept
• Deborah K Menzie, MD
• Stephanie Merberger, LSW
• Irvin A Meredith, RPH
• Meshach Recovery Center Inc.

• Physician Assistant in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.