NPIMap

Individual provider Active NPI

Joel W Bunn, PA-C

  • Medical Physician Assistant
  • Johnstown, PA
National Provider Identifier
1437201944
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA001534L Issued in PA
Practice address
1086 Franklin St
Johnstown, PA 15905-4305
Phone
(814) 539-5987
Fax
(814) 535-4176
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA001534L PA Primary

Addresses

Primary practice location

1086 Franklin St
Johnstown, PA 15905-4305

Mailing address

239 Main St
Suite 400
Johnstown, PA 15901-1640
Phone (814) 539-5987

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
I20120601000228 PA Practitioner - Physician Assistant 3577726561 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cambria Somerset Radiology and Nuclear Medicine Group IncGroup PAC ID 7113824277, 38 clinicians

Practice addresses (Care Compare)

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 536-7226

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MA001534LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Bedford Memorial CurrentSince Dec 1, 2023 Accepting new patients
Upmc Bedford Memorial CurrentSince Dec 1, 2023 Accepting new patients
Upmc Altoona CurrentSince Aug 26, 2013 Accepting new patients
Upmc Altoona CurrentSince Aug 26, 2013 Accepting new patients
Pennsylvania CVS Pharmacy, L.L.C. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1437201944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 MAIN ST",
            "address_2": "SUITE 400",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011640",
            "telephone_number": "814-539-5987",
            "fax_number": "814-535-4176"
        },
        {
            "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": "814-539-5987",
            "fax_number": "814-535-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNN",
        "first_name": "JOEL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA001534L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.