Richard W Pidutti, MD | |
1111 Franklin St, Suite 410, Johnstown, PA 15905-4330 | |
(814) 536-7851 | |
(814) 539-3649 |
Full Name | Richard W Pidutti |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 45 Years |
Location | 1111 Franklin St, Johnstown, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215956016 | NPI | - | NPPES |
0009399440002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD030673E (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Conemaugh Memorial Medical Center | Johnstown, PA | Hospital |
Conemaugh Meyersdale Medical Center | Meyersdale, PA | Hospital |
Upmc Somerset | Somerset, PA | Hospital |
Chan Soon- Shiong Medical Center At Windber | Windber, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dlp Conemaugh Physician Practices Llc | 7315166949 | 256 |
Entity Name | Dlp Conemaugh Physician Practices Llc |
---|---|
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 |
---|---|
Richard W Pidutti, MD 1086 Franklin St, Johnstown, PA 15905-4305 Ph: (814) 410-8300 | Richard W Pidutti, MD 1111 Franklin St, Suite 410, Johnstown, PA 15905-4330 Ph: (814) 536-7851 |
David J Carney, MD Urology Medicare: Medicare Enrolled Practice Location: 903 Old Scalp Ave, Suite 275, Johnstown, PA 15904 Phone: 814-262-7447 Fax: 814-262-7499 | |
Dr. Shiban K Warikoo, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1111 Franklin St, Suite 410, Johnstown, PA 15905 Phone: 814-536-7851 Fax: 814-539-3649 |