Individual provider Active NPI

Matthew David Perry, DO

  • General Practice Physician
  • Johnstown, PA
National Provider Identifier
1669670675
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OT012053 Issued in PA
Practice address
1086 Franklin St
Johnstown, PA 15905-4305
Phone
(814) 534-9892
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Virginia Commonwealth Univ School of Dentistry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Conemaugh Physician Practices LLC 286 clinicians

Practice addresses (Care Compare)

1086 Franklin St
M7
Johnstown, PA 15905-4305
Phone (814) 534-9407

Hospital & facility affiliations

  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091228000295 PA Practitioner - Emergency Medicine 1153461009 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT012053PAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nason Physician Practices LLC Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 1, 2018 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Jan 1, 2018 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Current Accepting new patients
Nason Physician Practices LLC CurrentSince Jan 1, 2018 Accepting new patients
Nason Physician Practices LLC CurrentSince Jan 1, 2018 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Jun 9, 2015 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Jun 9, 2015 Accepting new patients
DLP Conemaugh Miners Medical Center LLC CurrentSince Jul 16, 2021 Accepting new patients
DLP Conemaugh Miners Medical Center LLC CurrentSince Jul 16, 2021 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1086 Franklin St
#M7
Johnstown, PA 15905
Phone (615) 920-7334

105 Nason Dr
Roaring Spring, PA 16673
Phone (814) 224-2141

104 Hillcrest Dr
Roaring Spring, PA 16673
Phone (814) 224-5455

Interoperability endpoints

  • Direct secure messaging: mperry8283@direct.conemaugh.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X OT012053 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1086 Franklin St
Johnstown, PA 15905-4305

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 534-9892

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2007.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1669670675",
    "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": "814-534-9892"
        },
        {
            "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": "814-534-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OT012053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.