| Highlands Hospital Physicians | |
|
401 E Murphy Ave Suite 201 Connellsville PA 15425 | |
| (724) 628-1500 | |
| (724) 626-2334 |
| Full Name | Highlands Hospital Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 401 E Murphy Ave, Connellsville, Pennsylvania |
| Authorized Official Name and Position | John S Andursky (CEO) |
| Authorized Official Contact | 7246281500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Highlands Hospital Physicians 401 E Murphy Ave P.o. Box 1004 Connellsville PA 15425 Ph: (724) 628-1500 | Highlands Hospital Physicians 401 E Murphy Ave Suite 201 Connellsville PA 15425 Ph: (724) 628-1500 |
| NPI Number | 1447443957 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 10/20/2022 |
| Certification Date | 10/20/2022 |
| Medicare PECOS PAC ID | 2769460757 |
|---|---|
| Medicare Enrollment ID | O20040707001195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447443957 | NPI | - | NPPES |
| 100776921 | Medicaid | PA | |
| 1774039 | Other | PA | HIGHMARK BC/BS GRP# |
| CD5179 | Other | PA | RAILROAD MEDICARE |
| Provider Name | Betsy A Izes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720054554 PECOS PAC ID: 0648183772 Enrollment ID: I20031106000094 |
| Provider Name | Seema Kurichh Ekbote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366435752 PECOS PAC ID: 5991618928 Enrollment ID: I20031106000534 |
| Provider Name | Edward J Pohodich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609867118 PECOS PAC ID: 0446155311 Enrollment ID: I20031204000040 |
| Provider Name | Michael J Pelekanos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013905884 PECOS PAC ID: 6305744772 Enrollment ID: I20031222000899 |
| Provider Name | Benjamin Bernard Peticca |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790775013 PECOS PAC ID: 4183522576 Enrollment ID: I20031223000011 |
| Provider Name | Traci Wojcik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396718110 PECOS PAC ID: 6709784192 Enrollment ID: I20031223000026 |
| Provider Name | Ajit Shah |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1245227735 PECOS PAC ID: 4082512942 Enrollment ID: I20031230000382 |
| Provider Name | Andrew H Shaer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477555498 PECOS PAC ID: 6800781410 Enrollment ID: I20040220000712 |
| Provider Name | Ratan Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518932425 PECOS PAC ID: 9830087584 Enrollment ID: I20040305000419 |
| Provider Name | William R Poller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619976040 PECOS PAC ID: 4880585157 Enrollment ID: I20040324000846 |
| Provider Name | Susanj Shantu Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740284009 PECOS PAC ID: 7214829498 Enrollment ID: I20040325000443 |
| Provider Name | Mark A Casteel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093782674 PECOS PAC ID: 3274525597 Enrollment ID: I20040330000662 |
| Provider Name | Steven Rinehouse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265428908 PECOS PAC ID: 0840276499 Enrollment ID: I20040628000364 |
| Provider Name | Sean M Conley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518957802 PECOS PAC ID: 1557348430 Enrollment ID: I20040630000248 |
| Provider Name | Mouhanad K Al-fakih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013914605 PECOS PAC ID: 3779560479 Enrollment ID: I20040701000107 |
| Provider Name | Veeral Bhoot |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598982167 PECOS PAC ID: 0345227898 Enrollment ID: I20040701001271 |
| Provider Name | Aamer Farooki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316941859 PECOS PAC ID: 5698768539 Enrollment ID: I20040707001266 |
| Provider Name | Gregg David Schubach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558369900 PECOS PAC ID: 7416927132 Enrollment ID: I20040729001033 |
| Provider Name | Ahmed Jahangeer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033153127 PECOS PAC ID: 0941272082 Enrollment ID: I20040810000596 |
| Provider Name | Anne R Laforte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326033713 PECOS PAC ID: 1850360389 Enrollment ID: I20040930000614 |
| Provider Name | Ahna S Chu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700822467 PECOS PAC ID: 3678521960 Enrollment ID: I20050104000081 |
| Provider Name | Joseph Michael Estacio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841257565 PECOS PAC ID: 8022005701 Enrollment ID: I20050104000107 |
| Provider Name | David Scott Hursh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033359096 PECOS PAC ID: 5799736815 Enrollment ID: I20050207000449 |
| Provider Name | Hank Curtis Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063497097 PECOS PAC ID: 5294794806 Enrollment ID: I20050218000158 |
| Provider Name | Theresa Jean Lacava |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063412088 PECOS PAC ID: 5799724670 Enrollment ID: I20050429000454 |
| Provider Name | Rachel F Esposito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770577793 PECOS PAC ID: 1254375439 Enrollment ID: I20050617000909 |
| Provider Name | Hai Wei Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689618738 PECOS PAC ID: 8820072812 Enrollment ID: I20050919000536 |
| Provider Name | Tamara L W Price |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306874136 PECOS PAC ID: 7214959600 Enrollment ID: I20051229000084 |
| Provider Name | William Joseph Kozak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912908914 PECOS PAC ID: 7012925316 Enrollment ID: I20060328000742 |
| Provider Name | Michael Yuz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710972617 PECOS PAC ID: 6507756822 Enrollment ID: I20060329000236 |
| Provider Name | Diem Khue Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811954019 PECOS PAC ID: 0244241594 Enrollment ID: I20060526000052 |
| Provider Name | Derek R Armfield |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477525863 PECOS PAC ID: 5890792329 Enrollment ID: I20061026000123 |
| Provider Name | Leslee Jo Blaze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265535744 PECOS PAC ID: 4284739178 Enrollment ID: I20070423000098 |
| Provider Name | Waqar A Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669488342 PECOS PAC ID: 8729188693 Enrollment ID: I20070727000408 |
| Provider Name | Todd Blodgett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689877730 PECOS PAC ID: 7012008667 Enrollment ID: I20070810000329 |
| Provider Name | Gina L Canada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841414836 PECOS PAC ID: 1355437369 Enrollment ID: I20071022000254 |
| Provider Name | Dennis Burton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043298417 PECOS PAC ID: 7416857388 Enrollment ID: I20071026000017 |
| Provider Name | Mark D Hilborn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750380457 PECOS PAC ID: 3173428315 Enrollment ID: I20071130000009 |
| Provider Name | Richard A Tiberio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073570933 PECOS PAC ID: 1254420656 Enrollment ID: I20071208000086 |
| Provider Name | David C Faber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073509287 PECOS PAC ID: 7618057076 Enrollment ID: I20080110000462 |
| Provider Name | Joseph M Bender |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265411011 PECOS PAC ID: 5395641401 Enrollment ID: I20080116000497 |
| Provider Name | Gregory T Trecha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396716577 PECOS PAC ID: 0244228666 Enrollment ID: I20080123000140 |
| Provider Name | David L Obley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174524185 PECOS PAC ID: 2062427024 Enrollment ID: I20080201000004 |
| Provider Name | Albert K Enany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073512489 PECOS PAC ID: 5294797858 Enrollment ID: I20080710000532 |
| Provider Name | Diana T Baca |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881864643 PECOS PAC ID: 7315010659 Enrollment ID: I20080721000396 |
| Provider Name | Harjot Dulai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356557763 PECOS PAC ID: 8426121559 Enrollment ID: I20080722000516 |
| Provider Name | Mark Jablonski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942407135 PECOS PAC ID: 4385735828 Enrollment ID: I20080724000038 |
| Provider Name | Brian Goldwasser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114160298 PECOS PAC ID: 8820149479 Enrollment ID: I20090623000037 |
| Provider Name | Joseph Lahoda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083641005 PECOS PAC ID: 6406935931 Enrollment ID: I20090701000268 |
| Provider Name | Tennyson Maliro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740427467 PECOS PAC ID: 6002968708 Enrollment ID: I20090709000739 |
| Provider Name | Adil Chaudry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770744492 PECOS PAC ID: 9234279654 Enrollment ID: I20091216000254 |
| Provider Name | Sami Elsayed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649459983 PECOS PAC ID: 2264511443 Enrollment ID: I20100224000363 |
| Provider Name | Scott M Jacobson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629012414 PECOS PAC ID: 4688709652 Enrollment ID: I20100316000356 |
| Provider Name | Vidhi A Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710194055 PECOS PAC ID: 7214022763 Enrollment ID: I20100408000301 |
| Provider Name | Pradheep Jothi Shanker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457399818 PECOS PAC ID: 8123030657 Enrollment ID: I20100623000775 |
| Provider Name | Mamoon A Rasheed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760448468 PECOS PAC ID: 1951399609 Enrollment ID: I20101117000983 |
| Provider Name | Sundeep J Ekbote |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588699698 PECOS PAC ID: 8820004674 Enrollment ID: I20110203000757 |
| Provider Name | Sadaf Sultana Ijaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609084664 PECOS PAC ID: 0345422978 Enrollment ID: I20110303000253 |
| Provider Name | Gilbert B Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659575041 PECOS PAC ID: 4789869413 Enrollment ID: I20110425000130 |
| Provider Name | Abbas Chamsuddin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578539557 PECOS PAC ID: 0446150262 Enrollment ID: I20110513000159 |
| Provider Name | David Rose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194973735 PECOS PAC ID: 7113111436 Enrollment ID: I20110621000518 |
| Provider Name | Baher N. Wahba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265671101 PECOS PAC ID: 9335319706 Enrollment ID: I20110823000723 |
| Provider Name | Edward B Schmidt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477509644 PECOS PAC ID: 4385531060 Enrollment ID: I20120117000471 |
| Provider Name | Milind K Sinha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669612156 PECOS PAC ID: 3779750377 Enrollment ID: I20120123000652 |
| Provider Name | Charles H Schafer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699826891 PECOS PAC ID: 9335306836 Enrollment ID: I20120213000110 |
| Provider Name | Hany Samir Rezk Mesiha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003034455 PECOS PAC ID: 0749381754 Enrollment ID: I20120518000489 |
| Provider Name | Gopi K Vadlamudi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861624652 PECOS PAC ID: 2961659149 Enrollment ID: I20120822000631 |
| Provider Name | Ami Sethi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518175256 PECOS PAC ID: 1052594975 Enrollment ID: I20130129000573 |
| Provider Name | William W Chuang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396723193 PECOS PAC ID: 4284538638 Enrollment ID: I20130321000522 |
| Provider Name | Resheda L House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790026706 PECOS PAC ID: 4486891827 Enrollment ID: I20130503000015 |
| Provider Name | Danika A Hogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336302207 PECOS PAC ID: 6507005451 Enrollment ID: I20130625000652 |
| Provider Name | Michelle Mouria |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861648974 PECOS PAC ID: 4486785409 Enrollment ID: I20130628000588 |
| Provider Name | Tracy L Popey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205818630 PECOS PAC ID: 3678756673 Enrollment ID: I20130904000321 |
| Provider Name | Carla Mcclintock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851731178 PECOS PAC ID: 2860629730 Enrollment ID: I20131221000121 |
| Provider Name | Martin C Price |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1689884330 PECOS PAC ID: 8426206269 Enrollment ID: I20140322000083 |
| Provider Name | Richard J Carregal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053641746 PECOS PAC ID: 9739331505 Enrollment ID: I20140501000632 |
| Provider Name | Bhavani Kundeti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295013142 PECOS PAC ID: 9830321918 Enrollment ID: I20140730002486 |
| Provider Name | Tim Alan Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922091073 PECOS PAC ID: 6103845961 Enrollment ID: I20140820000263 |
| Provider Name | Gabriel Gonzalez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245468396 PECOS PAC ID: 0446479208 Enrollment ID: I20140910001542 |
| Provider Name | Jerald D Hansing |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891795696 PECOS PAC ID: 7911965033 Enrollment ID: I20141009001455 |
| Provider Name | Ann J Shipley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003213901 PECOS PAC ID: 1557685575 Enrollment ID: I20150122002433 |
| Provider Name | Cimenga Tshibaka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851459697 PECOS PAC ID: 4183634066 Enrollment ID: I20150303000666 |
| Provider Name | Andrew M Brown |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1629064951 PECOS PAC ID: 7113824582 Enrollment ID: I20150915002209 |
| Provider Name | Basem M Hussein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487730784 PECOS PAC ID: 2567351075 Enrollment ID: I20160310001987 |
| Provider Name | Benjamin L Harris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386954014 PECOS PAC ID: 1850690819 Enrollment ID: I20160427000133 |
| Provider Name | Jeffery D Settles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770780132 PECOS PAC ID: 1254509375 Enrollment ID: I20160906000346 |
| Provider Name | Ashley N Tucholski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417490368 PECOS PAC ID: 5890062772 Enrollment ID: I20170524002014 |
| Provider Name | Shavitri Mahendiran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326339946 PECOS PAC ID: 5890081186 Enrollment ID: I20170706002901 |
| Provider Name | Kamali Swaminathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639330483 PECOS PAC ID: 0143499509 Enrollment ID: I20170717002264 |
| Provider Name | Amar S Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477828523 PECOS PAC ID: 1153623749 Enrollment ID: I20170831002413 |
| Provider Name | Abram D Weimer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972982254 PECOS PAC ID: 0941513022 Enrollment ID: I20180103001553 |
| Provider Name | Ashley L Peterman Beener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609374321 PECOS PAC ID: 8921353939 Enrollment ID: I20180615000137 |
| Provider Name | Lloyd D Wagner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124161872 PECOS PAC ID: 3870517923 Enrollment ID: I20181107000480 |
| Provider Name | Michael A Dietz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942591870 PECOS PAC ID: 8022242478 Enrollment ID: I20181119001719 |
| Provider Name | Philip Brandeis Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649411422 PECOS PAC ID: 1759551088 Enrollment ID: I20181129001983 |
| Provider Name | David C Borgstrom |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518921758 PECOS PAC ID: 0840322277 Enrollment ID: I20190321002035 |
| Provider Name | Nicole Marie Mutnansky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912459447 PECOS PAC ID: 5496097347 Enrollment ID: I20190425001615 |
| Provider Name | Samantha Q King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538631254 PECOS PAC ID: 6002158342 Enrollment ID: I20190507000475 |
| Provider Name | Chinenyenwa Onyemaechi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396087052 PECOS PAC ID: 9234438433 Enrollment ID: I20191031000936 |
| Provider Name | Vikram Sobti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851608756 PECOS PAC ID: 1850516303 Enrollment ID: I20200121000796 |
| Provider Name | Adel Abas Mahmood Abdalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497702542 PECOS PAC ID: 8527053347 Enrollment ID: I20200228002304 |
| Provider Name | Melissa Rudge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326520966 PECOS PAC ID: 1759719578 Enrollment ID: I20200310000625 |
| Provider Name | Ramesh A Tank |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205942711 PECOS PAC ID: 7719918978 Enrollment ID: I20200317000570 |
| Provider Name | Amy Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326686882 PECOS PAC ID: 2264853860 Enrollment ID: I20200608001956 |
| Provider Name | Neilay Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184087447 PECOS PAC ID: 5496040743 Enrollment ID: I20200715001829 |
| Provider Name | Chelsy Damico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437780715 PECOS PAC ID: 6204255441 Enrollment ID: I20201007001818 |
| Provider Name | Kenneth H. Fox |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164439873 PECOS PAC ID: 8224154141 Enrollment ID: I20201102002002 |
| Provider Name | Amjad A Safvi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093707457 PECOS PAC ID: 7012809650 Enrollment ID: I20201123001404 |
| Provider Name | Steven Millmond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851365944 PECOS PAC ID: 6204730013 Enrollment ID: I20210129000831 |
| Provider Name | Ajeet Singh Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811254592 PECOS PAC ID: 1052614211 Enrollment ID: I20210505000180 |
| Provider Name | Chuan Liang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679984793 PECOS PAC ID: 9133538630 Enrollment ID: I20210513001869 |
| Provider Name | Shereef R Takla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114351343 PECOS PAC ID: 1557583804 Enrollment ID: I20210722001586 |
| Provider Name | Kathryn Bobak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952836579 PECOS PAC ID: 8426325960 Enrollment ID: I20211013001818 |
| Provider Name | Michael Khalili |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144593005 PECOS PAC ID: 0840433504 Enrollment ID: I20220207000735 |
| Provider Name | Linda Kang Armstrong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285841916 PECOS PAC ID: 4486816105 Enrollment ID: I20220225000038 |
| Provider Name | Gregg Warren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184651366 PECOS PAC ID: 8921096124 Enrollment ID: I20220301002663 |
| Provider Name | Simukayi Mutasa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932595923 PECOS PAC ID: 2668710914 Enrollment ID: I20220304000360 |
| Provider Name | Dwight Anthony Townsend |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811981590 PECOS PAC ID: 1658279948 Enrollment ID: I20220720002884 |
| Provider Name | Natalia Dolin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013972991 PECOS PAC ID: 5496730673 Enrollment ID: I20220913001823 |
| Provider Name | Andrea Loreen Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952044414 PECOS PAC ID: 4981072089 Enrollment ID: I20221121003255 |
| Provider Name | James K Okoh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710968433 PECOS PAC ID: 3476524075 Enrollment ID: I20221205000104 |
| Provider Name | Emad Hamid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457553588 PECOS PAC ID: 7618021999 Enrollment ID: I20230221001090 |
| Provider Name | Marie Addly Cambronne |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639372543 PECOS PAC ID: 0345338802 Enrollment ID: I20230331000632 |
| Provider Name | Sandeep Shrestha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063767051 PECOS PAC ID: 7810290376 Enrollment ID: I20230501001407 |
| Provider Name | Richard Steinman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902880586 PECOS PAC ID: 0749203131 Enrollment ID: I20230524003319 |
| Provider Name | Matthew Knouse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477045284 PECOS PAC ID: 3870848591 Enrollment ID: I20230615003362 |
| Provider Name | Cody Pepperday |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427542505 PECOS PAC ID: 9436405750 Enrollment ID: I20230907000521 |
| Provider Name | Nneka Caroline Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326749326 PECOS PAC ID: 9537513551 Enrollment ID: I20230926000035 |
| Provider Name | Sherrie Sharp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083639447 PECOS PAC ID: 5890703987 Enrollment ID: I20231218004333 |
| Provider Name | Ryan Jean Baptiste |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497997050 PECOS PAC ID: 4587789326 Enrollment ID: I20240117002391 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851705990 PECOS PAC ID: 2062748528 Enrollment ID: I20240221000911 |
Roxane Mongelluzzo, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 S Pittsburgh St, Connellsville, PA 15425 Phone: 724-626-8420 Fax: 724-628-0898 | |
Highlands Hospital And Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Murphy Ave, Connellsville, PA 15425 Phone: 724-628-1500 Fax: 724-626-2217 | |
Apex Diagnostics-w Penn Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2614 Memorial Blvd Ste A, Connellsville, PA 15425 Phone: 410-808-0248 | |
State Of Mind Neuropsychology Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2714 Memorial Blvd, Connellsville, PA 15425 Phone: 724-317-1647 | |
Serenity Hill Counseling & Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2787 Memorial Blvd Unit 2, Connellsville, PA 15425 Phone: 724-603-2647 | |
Connellsville Counseling & Psychological Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 416 S Pittsburgh St, Connellsville, PA 15425 Phone: 724-626-8420 Fax: 724-628-0898 | |
Highlands Hospital And Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Murphy Ave, Connellsville, PA 15425 Phone: 724-628-1500 |