Active NPI
Phillip Gvozden, MD
- Family Medicine Physician
- Johnstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD069402L
- Practice address
- 128 Fairfield Ave
Johnstown, PA 15906-2331 - Phone
- (814) 809-7130
- Fax
- (814) 809-7131
- NPI assigned
- Jun 13, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD069402L | PA | Primary |
Addresses
Primary practice location
128 Fairfield Ave
Johnstown, PA 15906-2331
Mailing address
128 Fairfield Ave
Johnstown, PA 15906-2331
Phone (814) 809-7130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017589700005 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
128 Fairfield Ave
Johnstown, PA 15906-2331
Phone (814) 809-7130
336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224
Hospital & facility affiliations
- Conemaugh Home Health
- Conemaugh Memorial Medical Center
- Chan Soon- Shiong Medical Center at Windber
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Physician Practices LLC | Family Medicine | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Family Medicine | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Family Medicine | Current | Accepting new patients |
| Gvozden Integrated Health PC | Family Medicine | Current | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
236 Jamesway Rd
Ebensburg, PA 15931
Phone (814) 471-6595
128 Fairfield Ave
Johnstown, PA 15906
Phone (814) 535-1621
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
1 Tech Park Dr
Johnstown, PA 15901
Phone (814) 475-8600
1020 Franklin St
Johnstown, PA 15905
Phone (814) 533-1095
Interoperability endpoints
- drgvozden@chp.medentdirect.com
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Johnstown, PA
- NPI 1912755448
-
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Rehabilitation Clinic/Center
- Johnstown, PA
- NPI 1487693313
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1205242609
Family Medicine
-
- Family Medicine Physician
- Ebensburg, PA
- NPI 1376959213
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Johnstown, PA
- NPI 1801897038
-
- Home Health Agency
- Johnstown, PA
- NPI 1831613520
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1992709497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 FAIRFIELD AVE",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159062331",
"telephone_number": "814-809-7130",
"fax_number": "814-809-7131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 FAIRFIELD AVE",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159062331",
"telephone_number": "814-809-7130",
"fax_number": "814-809-7131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GVOZDEN",
"first_name": "PHILLIP",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD069402L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017589700005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 11, 2024; 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.