DLP Conemaugh Meyersdale Medical Center LLC
Organization Active NPI Family Medicine Physician · Meyersdale, PA
NPI 1932500154 · NPPES record last updated Feb 10, 2023
Key facts
- NPI
- 1932500154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- DLP CONEMAUGH MEYERSDALE MEDICAL CENTER LLC
- Practice address
- 202 Beachley St
Meyersdale, PA 15552-1220 - Phone
- (814) 634-5935
- Fax
- (814) 634-9140
- NPI assigned
- Sep 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Charlotte Lawrence
- Title
- Secretary
- Phone
- (615) 920-7000
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 3
Practitioners 60
-
Ashley Berkley, DO
-
Krishna M Bhat, MD
-
David A. Glusko, D.O.
-
Amy Lynn Walker, APRN, FNP-C
-
Yuefeng Chen, M.D., PH.D.
-
Michael Edward Cherian, M.D.
-
Donna Davis, CRNP
-
Bryan J Funari, MD
-
Dennis R. Glover, M.D.
-
John Jacob Heldt, MD
-
Symaya Hoque, MD
-
Aly Husein, MD
-
Khandakar Hussain, M.D.
-
Randy J. Johnson, CRNA
-
Nathaniel Kriger, D.O.
-
Olena Macnichol, MD
-
Mackenzie Magley, D.O.
-
Brian M McCue, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150427000756 | PA | Part B Supplier - Clinic/Group Practice | 0446470041 |
Receives reassigned benefits from 57 practitioners 3 other NPIs on this enrollment Practice locations: Salisbury, PA; Meyersdale, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Internal Medicine Physician |
207R00000X | |||
| Pediatrics Physician |
208000000X | |||
| Physician Assistant |
363A00000X |
Addresses
Primary practice location
202 Beachley St
Meyersdale, PA 15552-1220
Mailing address
202 Beachley St
Meyersdale, PA 15552-1220
Phone (814) 634-5935
Other providers in Meyersdale, PA
- DLP Conemaugh Meyersdale Medical Center LLC
- DLP Conemaugh Meyersdale Medical Center LLC
- DLP Conemaugh Meyersdale Medical Center LLC
- DLP Conemaugh Meyersdale Medical Center LLC
- DLP Conemaugh Meyersdale Medical Center LLC
- DLP Conemaugh Meyersdale Medical Center LLC
- DLP Meyersdale Medical Center LLC
- F B Thomas Drug Store Inc
- F B Thomas Drug Store Inc
- F. B. Thomas Drug Store Inc.
All providers in Meyersdale, PA · Family Medicine 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 Feb 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.