Active NPI
Benjamen Wallace Mecham, DO
- Emergency Medicine Physician
- Johnstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- R0756
- Practice address
- 1086 Franklin St
Johnstown, PA 15905-4305 - Phone
- (814) 534-9106
- Fax
- (814) 534-3136
- NPI assigned
- May 16, 2013
- Last updated
- Oct 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R0756 | TX | Primary |
| Family Medicine Physician | 207Q00000X | OT014997 | PA |
Addresses
Primary practice location
1086 Franklin St
Johnstown, PA 15905-4305
Mailing address
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 4TH St
Longview, TX 75605-5128
Phone (903) 758-1818
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0756 | TX | MD | Emergency Medicine Physician |
| OT014997 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Longview Regional Medical Center
- General Acute Care Hospital
- Longview, TX
- NPI 1528026267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1447696505",
"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": "159054305",
"telephone_number": "814-534-9106",
"fax_number": "814-534-3136"
},
{
"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": "814-534-9106",
"fax_number": "814-534-3136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECHAM",
"first_name": "BENJAMEN",
"middle_name": "WALLACE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-16",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "R0756",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT014997",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
- Betty Ann McPherson, OTR/L
- Erin McQuiston
- MD Massoud LLC
- Paul G. Meade, M.D.
- Amanda Sue Meagher
- Medexpress Urgent Care, PC - Pennsylvania (MedExpress Urgent Care - Johnstown)
- Medical Group of Windber Inc (Medical Group of Windber - Richland)
- Britney Ann Meenan, PT
- Daniel R Meenan, MD
- Kathleen A Mehall, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.