Organization Active NPI

Conemaugh Valley Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Johnstown, PA
National Provider Identifier
1194802231
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
CONEMAUGH VALLEY MEMORIAL HOSPITAL
Practice address
1086 Franklin St
Johnstown, PA 15905-4398
Phone
(814) 534-1821
Fax
(814) 534-1743
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Jean A Dziagwa
Title
Director PFS
Phone
(814) 410-8296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

1086 Franklin St
Johnstown, PA 15905-4398

Mailing address

1086 Franklin St
Johnstown, PA 15905
Phone (814) 410-8296

Other identifiers 1

IdentifierTypeStateIssuer
CO917325OtherPABLUE CROSS CRNA PROFEE

National Provider Directory

National Provider Directory

Locations

145 Clark Building Rd
Ste 8
Bedford, PA 15522
Phone (814) 623-2820

207 Woodstown Hwy
#F
Hollsopple, PA 15935
Phone (814) 629-5653

320 Main St
Fl 5
Johnstown, PA 15901
Phone (814) 534-6333

1450 Scalp Ave
Ste 101
Johnstown, PA 15904
Phone (814) 266-4700

315 Locust St
Fl 1
Johnstown, PA 15901
Phone (814) 534-7500

1003 Broad St
Ste 122
Johnstown, PA 15906
Phone (814) 533-1028

1111 Franklin St
Ste 40
Johnstown, PA 15905
Phone (814) 534-9183

1450 Scalp Ave
Ste 115
Johnstown, PA 15904
Phone (814) 262-9411

506 Beachley St
Meyersdale, PA 15552
Phone (814) 634-5400

1060 Lloyd St
Nanty Glo, PA 15943
Phone (814) 536-6671

813 Jefferson Ave
Portage, PA 15946
Phone (814) 736-4280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1194802231",
    "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": "15905",
            "telephone_number": "814-410-8296",
            "fax_number": "814-410-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054398",
            "telephone_number": "814-534-1821",
            "fax_number": "814-534-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEMAUGH VALLEY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "DZIAGWA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR PFS",
        "authorized_official_telephone_number": "814-410-8296"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS CRNA PROFEE",
            "identifier": "CO917325",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 22, 2013; 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.