Memorial Medical Center

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

VP003339 J Issued in PA

Legal business name

MEMORIAL MEDICAL CENTER

Practice address

1086 Franklin St
Johnstown, PA 15905-4305

Phone

(814) 534-9267

NPI assigned

Jun 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Mary Ziders, RNC, BSN, CRNP

Title

Neonatal Nurse Practitioner

Phone

(814) 534-9267

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750583530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 BENJAMIN CT",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151087726",
            "telephone_number": "412-264-6563"
        },
        {
            "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": "814-534-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIDERS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "NEONATAL NURSE PRACTITIONER",
        "authorized_official_telephone_number": "814-534-9267",
        "authorized_official_credential": "RNC, BSN, CRNP"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "PA",
            "license": "VP003339 J",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Mehall, PA-C
• Talha Mehmood, M.D.
• Janet Elaine Melikant, OTR/L
• Melissa Melikant
• Memorial Medical Center
• James Mendillo, PAC
• Menoher Heights Vol Fire Dept
• Deborah K Menzie, MD
• Stephanie Merberger, LSW
• Irvin A Meredith, RPH

• Children's Hospital in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Children's Hospital in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.