Dr Rod Alan Wall, MD | |
1123 Franklin St, Johnstown, PA 15905-4309 | |
(814) 539-5340 | |
Not Available |
Full Name | Dr Rod Alan Wall |
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Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 1123 Franklin St, Johnstown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356376305 | NPI | - | NPPES |
0006455980002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD017369E (Pennsylvania) | Primary |
207RC0000X | Internal Medicine - Cardiovascular Disease | MD017369E (Pennsylvania) | Primary |
Entity Name | Cardiology Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730100900 PECOS PAC ID: 7113965922 Enrollment ID: O20050421001241 |
Entity Name | Dlp Conemaugh Memorial Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669873881 PECOS PAC ID: 8022238682 Enrollment ID: O20141015000769 |
Entity Name | Dlp Conemaugh Miners Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629471768 PECOS PAC ID: 2860612439 Enrollment ID: O20141030001653 |
Mailing Address | Practice Location Address |
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Dr Rod Alan Wall, MD 2210 Spear Ave, Johnstown, PA 15905-1646 Ph: (814) 539-5340 | Dr Rod Alan Wall, MD 1123 Franklin St, Johnstown, PA 15905-4309 Ph: (814) 539-5340 |
Ashish Jain, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1086 Franklin St Dept Of, Johnstown, PA 15905 Phone: 814-534-9104 Fax: 814-534-3559 | |
Ayesha Haq, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9408 Fax: 814-534-3290 | |
Michael Voloshin, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 337 Somerset St, John P Murtha Pavillion, Johnstown, PA 15901 Phone: 814-534-4724 | |
Samir A Hadeed, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 374 Theatre Dr, Johnstown, PA 15904 Phone: 814-619-4587 Fax: 814-254-4154 | |
Talha Mehmood, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9803 | |
Naila Hussain, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9408 Fax: 814-534-3290 | |
George J Frem, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 88 Osborne St, Johnstown, PA 15905 Phone: 814-539-0798 Fax: 814-536-4751 |