Henry Shoenthal, MD | |
4186 Cortland Dr, New Paris, PA 15554-7706 | |
(814) 839-4108 | |
(814) 839-4845 |
Full Name | Henry Shoenthal |
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Gender | Male |
Speciality | Family Medicine |
Location | 4186 Cortland Dr, New Paris, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063419414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD014343E (Pennsylvania) | Primary |
Entity Name | Henry W Shoenthal Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588022669 PECOS PAC ID: 7810281946 Enrollment ID: O20171220001232 |
Mailing Address | Practice Location Address |
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Henry Shoenthal, MD 1086 Franklin St, Johnstown, PA 15905-4305 Ph: (814) 410-8300 | Henry Shoenthal, MD 4186 Cortland Dr, New Paris, PA 15554-7706 Ph: (814) 839-4108 |
Joseph John Pallo, Family Medicine Medicare: Medicare Enrolled Practice Location: 4186 Cortland Dr, New Paris, PA 15554 Phone: 814-839-4108 Fax: 814-839-4845 | |
Dr. Matthew W Hillegass, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4186 Cortland Dr, New Paris, PA 15554 Phone: 814-839-4108 | |
Lynn Marie Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4186 Cortland Dr, Box 367, New Paris, PA 15554 Phone: 814-839-4108 Fax: 814-839-4845 | |
Evangeline Hillegass, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4186 Cortland Dr, New Paris, PA 15554 Phone: 814-839-4108 | |
Mr. Ronald P Fetsko, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 4186 Cortland Dr, Box 367, New Paris, PA 15554 Phone: 814-839-4108 Fax: 814-839-4845 |