Individual provider Active NPI

William M Demayo, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Johnstown, PA
National Provider Identifier
1841471364
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD059344L Issued in PA
Practice address
360 Goucher St
Johnstown, PA 15905-3400
Phone
(814) 288-4448
Fax
(814) 288-4477
NPI assigned
Nov 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD059344L PA Primary

Addresses

Primary practice location

360 Goucher St
Johnstown, PA 15905-3400

Mailing address

360 Goucher St
Johnstown, PA 15905-3400
Phone (814) 288-4448

Other identifiers 1

IdentifierTypeStateIssuer
436893Q12OtherPAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240715001474 FL Practitioner - Physical Medicine and Rehabilitation 0042348013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Columbia University College of Physicians and Surgeons, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Symphony Specialty Group, LLCGroup PAC ID 7719340850, 14 clinicians

Practice addresses (Care Compare)

8613 Old Kings Rd S
Suite 602
Jacksonville, FL 32217-4863
Phone (904) 493-3390

Hospital & facility affiliations

  • Reunion Rehabilitation Hospital Jacksonville Inpatient rehabilitation facility, Jacksonville, FL, CCN 103063

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Symphony Specialty Group, LLC CurrentSince Jun 24, 2024 Accepting new patients
Jacksonville Hospitalists PA CurrentSince Jun 24, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

8613 Old Kings Rd S
Ste 602
Jacksonville, FL 32217
Phone (904) 493-3390

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196121600000",
    "number": "1841471364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 GOUCHER ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053400",
            "telephone_number": "814-288-4448",
            "fax_number": "814-288-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 GOUCHER ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053400",
            "telephone_number": "814-288-4448",
            "fax_number": "814-288-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAYO",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD059344L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "436893Q12",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.