John O Chan, MD | |
1086 Franklin St, Johnstown, PA 15905-4305 | |
(814) 534-9794 | |
(814) 534-3479 |
Full Name | John O Chan |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 1086 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 |
---|---|---|---|
1407850993 | NPI | - | NPPES |
001590313 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MD045331E (Pennsylvania) | Primary |
Entity Name | Dlp Conemaugh Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932515905 PECOS PAC ID: 7315166949 Enrollment ID: O20140915002522 |
Mailing Address | Practice Location Address |
---|---|
John O Chan, MD 1086 Franklin St, Johnstown, PA 15905-4305 Ph: (814) 410-8300 | John O Chan, MD 1086 Franklin St, Johnstown, PA 15905-4305 Ph: (814) 534-9794 |
Dr. Venkata R Dharbhamulla, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-536-8969 Fax: 814-536-7180 | |
Ms. Linsey Joy Donoughe, PA-C Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9794 Fax: 814-534-3479 | |
Johnnie Wilson Barto, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 323 Budfield St, Johnstown, PA 15904 Phone: 814-262-9500 Fax: 814-262-7303 | |
Karl Berger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1141 Franklin St, Franklin Street Pediatrics, Johnstown, PA 15905 Phone: 814-536-8956 Fax: 814-539-6601 | |
Stephanie Ann Porter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 323 Budfield St, Johnstown, PA 15904 Phone: 814-262-9500 Fax: 814-262-9142 | |
Michelle R Sredy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-2176 | |
Dr. Bradley Russell Drennen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1322 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-2176 |