Kevin T Murtha, MD | |
1450 Scalp Ave, Suite 003b, Johnstown, PA 15904-3374 | |
(814) 269-9551 | |
(814) 266-6263 |
Full Name | Kevin T Murtha |
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Gender | Male |
Speciality | Family Medicine |
Location | 1450 Scalp Ave, 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 |
---|---|---|---|
1225034879 | NPI | - | NPPES |
001530191 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD054237L (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 |
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Kevin T Murtha, MD 1086 Franklin St, Johnstown, PA 15905-4305 Ph: (814) 410-8300 | Kevin T Murtha, MD 1450 Scalp Ave, Suite 003b, Johnstown, PA 15904-3374 Ph: (814) 269-9551 |
Sai Harsha Bobba, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9364 Fax: 814-534-5599 | |
Bonifacio Tan Aguilera, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 307 Terlyn Drive, Johnstown, PA 15904 Phone: 814-467-6378 | |
Dr. Sahar Elias, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1450 Scalp Ave, Suite 1000, Johnstown, PA 15904 Phone: 814-269-5200 Fax: 814-269-5070 | |
Sandeep Mahal, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9364 | |
Fredrick William Munzer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 Theatre Dr, Johnstown, PA 15904 Phone: 814-269-4507 Fax: 814-288-0194 | |
Erica Korin Wentz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1086 Franklin St, Johnstown, PA 15905 Phone: 814-534-9106 | |
Mark Mitchell Malicki, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 322 Warren St, Ste 300, Johnstown, PA 15905 Phone: 814-288-1418 Fax: 814-288-1525 |