Active NPI
Sebastian J. Ciacchella, MD
- Preventive Medicine/Occupational Environmental Medicine Physician
- Johnstown, PA
National Provider Identifier
1578633814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- MD431716
- Practice address
- 1450 Scalp Ave
Johnstown, PA 15904-3374 - Phone
- (814) 269-5200
- Fax
- (814) 269-5070
- NPI assigned
- Nov 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | MD431716 | PA | Primary |
Addresses
Primary practice location
1450 Scalp Ave
Johnstown, PA 15904-3374
Mailing address
1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 410-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD431716 | PA | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Monaca | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| WK Urgent Care Center - Bossier | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Monaca, PA
- NPI 1801040092
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
-
- Family Medicine Physician
- Bossier City, LA
- NPI 1982640884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1578633814",
"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": "814-410-8300",
"fax_number": "814-410-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 SCALP AVE",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159043374",
"telephone_number": "814-269-5200",
"fax_number": "814-269-5070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIACCHELLA",
"first_name": "SEBASTIAN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "PA",
"license": "MD431716",
"primary": true
}
],
"identifiers": [],
"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 Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.