Eugene Paul Nallin Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD037858E Issued in PA

Practice address

144 5TH Ave
Hyndman, PA 15545-7379

Phone

(814) 842-3206

Fax

(814) 842-3746

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1376539965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 706",
            "city": "HYNDMAN",
            "state": "PA",
            "postal_code": "155450706",
            "telephone_number": "814-842-3206",
            "fax_number": "814-842-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 5TH AVE",
            "city": "HYNDMAN",
            "state": "PA",
            "postal_code": "155457379",
            "telephone_number": "814-842-3206",
            "fax_number": "814-842-3746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLIN",
        "first_name": "EUGENE",
        "middle_name": "PAUL",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D34812",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD037858E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010786340003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "439801700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Norman Iseminger, RPH
• Bobbi Ann McAllister, PAC
• Cassidy McCutchen
• Kelly Jo McGee, MSN, APRN, FNP-C
• Vanessa Katherine Messenger
• Sherry Jean Neff
• Ajay Patel, PHARMD
• Jeanne C. Pfeilsticker, MD
• Mark D Rader, MD
• Grant Thomas Sisk, DMD

• Family Medicine Physician in Hyndman, PA
• Providers in Hyndman, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.