Joanathan I Abrahams, MD
Individual provider Active NPI Diagnostic Radiology Physician · Johnstown, PA
NPI 1629129374 · NPPES record last updated Jan 9, 2012
Key facts
- NPI
- 1629129374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD021109E (PA)
- Practice address
- 1086 Franklin St
Johnstown, PA 15905-4305 - Phone
- (814) 539-5987
- Fax
- (814) 535-4176
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD021109E | PA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000955026 | Medicaid | PA |
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All providers in Johnstown, PA · Diagnostic Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.