| Alleghenies Independent Physicians | |
|
336 Bloomfield St Ste 201 Johnstown PA 15904-3271 | |
| (814) 535-7576 | |
| (814) 536-1369 |
| Full Name | Alleghenies Independent Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 336 Bloomfield St Ste 201, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Craig H Fockler (PRESIDENT) |
| Authorized Official Contact | 8142665650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alleghenies Independent Physicians 336 Bloomfield St Ste 201 Johnstown PA 15904-3271 Ph: (814) 535-7576 | Alleghenies Independent Physicians 336 Bloomfield St Ste 201 Johnstown PA 15904-3271 Ph: (814) 535-7576 |
| NPI Number | 1871535351 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 03/10/2021 |
| Medicare PECOS PAC ID | 4082662978 |
|---|---|
| Medicare Enrollment ID | O20050107000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871535351 | NPI | - | NPPES |
| 1063497584 | Other | MUNZER, FRED NPI | |
| 1457336042 | Other | NPI MARLEY | |
| 1518947720 | Other | BUDAY, MICHAEL NPI NUM | |
| 1538160262 | Other | PA | ADEWALE OLALERE MD NPI |
| 1639154545 | Other | GUNNLAUGSON, BRIAN NPI | |
| 1346225869 | Other | AMPER, LEONARDO NPI NUM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS005422L (Pennsylvania) | Primary |
| 207R00000X | Internal Medicine | MD059909L (Pennsylvania) | Secondary |
| Provider Name | Craig Harold Fockler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104820687 PECOS PAC ID: 8325063506 Enrollment ID: I20051006000582 |
| Provider Name | Fredrick W Munzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063497584 PECOS PAC ID: 6608892096 Enrollment ID: I20051014000391 |
| Provider Name | Timothy L Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760748669 PECOS PAC ID: 2668634890 Enrollment ID: I20120503000473 |
| Provider Name | Tracey Ann Eckenrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679901409 PECOS PAC ID: 9335362078 Enrollment ID: I20140527000510 |
| Provider Name | Connie R Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497183818 PECOS PAC ID: 3870720204 Enrollment ID: I20140926000013 |
| Provider Name | Elizabeth A Byers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083123541 PECOS PAC ID: 5092071589 Enrollment ID: I20171116001881 |
| Provider Name | Bethany Walerysiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477092716 PECOS PAC ID: 4486914959 Enrollment ID: I20180131002056 |
| Provider Name | Brittany N Skedel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730670878 PECOS PAC ID: 3274884127 Enrollment ID: I20180917001316 |
| Provider Name | Ashley Lynn Blanar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619469020 PECOS PAC ID: 3971937111 Enrollment ID: I20191223000496 |
| Provider Name | Brianna Karlheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164064986 PECOS PAC ID: 3678907268 Enrollment ID: I20200108000403 |
| Provider Name | Cortney Lynn Langerholc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386260396 PECOS PAC ID: 5092138370 Enrollment ID: I20200702002086 |
| Provider Name | Cheryl L Stape |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942089016 PECOS PAC ID: 0749637072 Enrollment ID: I20231108002414 |
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