Active NPI
Ethan Ross Yap Dumayas, PA-C
- Physician Assistant
- Johnstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA062011
- Practice address
- 247 Shekomeko LN
Johnstown, PA 15905-2938 - Phone
- (814) 248-6252
- NPI assigned
- Nov 12, 2020
- Last updated
- Nov 12, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA062011 | PA | Primary |
Addresses
Primary practice location
247 Shekomeko LN
Johnstown, PA 15905-2938
Mailing address
247 Shekomeko LN
Johnstown, PA 15905-2938
Phone (814) 248-6252
Other names 1
- Ethan Yap Dumayas
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
1400 9TH Ave
Altoona, PA 16602-2415
Phone (814) 941-8811
1414 9TH Ave
Blair Medical Assocs
Altoona, PA 16602-2415
Phone (814) 946-1655
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.88 of 100
- Quality
- 62.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA062011 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Regional Medical Center | Physician Assistant | Current | Accepting new patients |
| Upmc Altoona Regional Health Services, Inc | Current | Accepting new patients |
Locations
1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
100 Hospital Ave
Ofc
Dubois, PA 15801
Interoperability endpoints
- ethan.r.dumayas@upmcdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Blair Medical Associates
- Family Medicine Physician
- Altoona, PA
- NPI 1396724217
-
- Internal Medicine Physician
- Du Bois, PA
- NPI 1285821835
Physician Assistant
-
dba Blair Medical Associates
- Internal Medicine Physician
- Altoona, PA
- NPI 1639158488
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Women's Health and Wellness
- Non-Surgical Family Planning Clinic/Center
- Altoona, PA
- NPI 1457303885
Hospital
-
- General Acute Care Hospital
- Altoona, PA
- NPI 1649278730
-
- Psychiatric Hospital Unit
- Altoona, PA
- NPI 1699773465
-
- Home Health Agency
- Altoona, PA
- NPI 1659443158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1679175749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 SHEKOMEKO LN",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159052938",
"telephone_number": "814-248-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 SHEKOMEKO LN",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159052938",
"telephone_number": "814-248-6252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMAYAS",
"first_name": "ETHAN ROSS",
"middle_name": "YAP",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-12",
"last_updated": "2020-11-12",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA062011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ETHAN",
"last_name": "DUMAYAS",
"middle_name": "YAP",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}
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 Nov 12, 2020; 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.