| Dlp Conemaugh Meyersdale Medical Center Llc | |
|
202 Beachley St Meyersdale PA 15552-1220 | |
| (814) 634-5935 | |
| (814) 634-9140 |
| Full Name | Dlp Conemaugh Meyersdale Medical Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 202 Beachley St, Meyersdale, Pennsylvania |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dlp Conemaugh Meyersdale Medical Center Llc 202 Beachley St Meyersdale PA 15552-1220 Ph: (814) 634-5935 | Dlp Conemaugh Meyersdale Medical Center Llc 202 Beachley St Meyersdale PA 15552-1220 Ph: (814) 634-5935 |
| NPI Number | 1932500154 |
|---|---|
| Provider Enumeration Date | 09/07/2014 |
| Last Update Date | 02/10/2023 |
| Medicare PECOS PAC ID | 0446470041 |
|---|---|
| Medicare Enrollment ID | O20150427000756 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932500154 | NPI | - | NPPES |
| Provider Name | Stuart G Tauberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437120672 PECOS PAC ID: 4284548561 Enrollment ID: I20031119000688 |
| Provider Name | Nathan O Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801880273 PECOS PAC ID: 3971409178 Enrollment ID: I20031209000658 |
| Provider Name | Jeffrey L Dakas |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336142256 PECOS PAC ID: 0446144364 Enrollment ID: I20040217000460 |
| Provider Name | David A Glusko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295737518 PECOS PAC ID: 0042283749 Enrollment ID: I20040819000222 |
| Provider Name | Mukul Bhatnagar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790750453 PECOS PAC ID: 5991774085 Enrollment ID: I20040927000228 |
| Provider Name | William E Smeal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497710701 PECOS PAC ID: 6103872676 Enrollment ID: I20050328000804 |
| Provider Name | Jude A Mugerwa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639112642 PECOS PAC ID: 4183666225 Enrollment ID: I20050527000683 |
| Provider Name | Dwayne L Platt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912908047 PECOS PAC ID: 2769428499 Enrollment ID: I20050705000514 |
| Provider Name | Gretchen M Platt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730180860 PECOS PAC ID: 8527004167 Enrollment ID: I20050705000662 |
| Provider Name | Raymond S Resnick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427043553 PECOS PAC ID: 4880631720 Enrollment ID: I20050909000110 |
| Provider Name | Rajesh Mohan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376565507 PECOS PAC ID: 6507821634 Enrollment ID: I20060915000232 |
| Provider Name | Dennis R Glover |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578562344 PECOS PAC ID: 0244296135 Enrollment ID: I20070504000195 |
| Provider Name | Bryan J Funari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386842706 PECOS PAC ID: 0143321703 Enrollment ID: I20070726000228 |
| Provider Name | Frank Matthew Abraham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851304364 PECOS PAC ID: 6406758002 Enrollment ID: I20080227000468 |
| Provider Name | Randy J Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407954084 PECOS PAC ID: 6103997929 Enrollment ID: I20080620000486 |
| Provider Name | Brian J Wieczorek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558339820 PECOS PAC ID: 6709952740 Enrollment ID: I20080827000639 |
| Provider Name | Ashley B Berkley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437395290 PECOS PAC ID: 0143362772 Enrollment ID: I20100120000686 |
| Provider Name | Alexander E Kalenak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831123496 PECOS PAC ID: 5395873145 Enrollment ID: I20100514000498 |
| Provider Name | Genevieve L Everett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275736415 PECOS PAC ID: 3577755859 Enrollment ID: I20101005000525 |
| Provider Name | Koroush Khalighi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356345193 PECOS PAC ID: 9537352372 Enrollment ID: I20101025000746 |
| Provider Name | Vishwanath M Khajuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932202389 PECOS PAC ID: 0143401059 Enrollment ID: I20110225000307 |
| Provider Name | Krishna Bhat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205870797 PECOS PAC ID: 6507769700 Enrollment ID: I20110630000033 |
| Provider Name | Nicholas J Mandalakas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811988868 PECOS PAC ID: 6103956503 Enrollment ID: I20111003000310 |
| Provider Name | Shawn C West |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639133952 PECOS PAC ID: 9133376213 Enrollment ID: I20120824000086 |
| Provider Name | Sarah M Piscatello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568713295 PECOS PAC ID: 4688825896 Enrollment ID: I20121116000469 |
| Provider Name | Michael R Grossman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710929708 PECOS PAC ID: 1153387774 Enrollment ID: I20130304000117 |
| Provider Name | Maruthi Srikanth Penumetsa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043469471 PECOS PAC ID: 7810159266 Enrollment ID: I20140725001636 |
| Provider Name | Victor Heresniak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336194596 PECOS PAC ID: 5193624427 Enrollment ID: I20140919002006 |
| Provider Name | Olena Macnichol |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1720409279 PECOS PAC ID: 1557674512 Enrollment ID: I20150720002030 |
| Provider Name | Michael E Cherian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063772564 PECOS PAC ID: 3173835022 Enrollment ID: I20151111000462 |
| Provider Name | Sumaira Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164857462 PECOS PAC ID: 9931497989 Enrollment ID: I20161007000524 |
| Provider Name | Giuseppe Gioia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932188729 PECOS PAC ID: 6103894514 Enrollment ID: I20170717000069 |
| Provider Name | Heather Nicole Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366896342 PECOS PAC ID: 4284907965 Enrollment ID: I20170831000168 |
| Provider Name | Donna D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215456066 PECOS PAC ID: 6002174257 Enrollment ID: I20171218002490 |
| Provider Name | Nathaniel Kriger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306224860 PECOS PAC ID: 1557675717 Enrollment ID: I20180126000682 |
| Provider Name | Mohammad U Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306288832 PECOS PAC ID: 1759505571 Enrollment ID: I20180130000890 |
| Provider Name | Khandakar M Hussain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639550064 PECOS PAC ID: 4486969102 Enrollment ID: I20180226000671 |
| Provider Name | Md Didar Ul Alam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417331331 PECOS PAC ID: 2466703574 Enrollment ID: I20180927002955 |
| Provider Name | Zeke Feyock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033692546 PECOS PAC ID: 5799037867 Enrollment ID: I20181018000608 |
| Provider Name | Johannie Keith Y Uy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154736056 PECOS PAC ID: 4183996606 Enrollment ID: I20181203002390 |
| Provider Name | Michael Kwesi Darko Amponsah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518233899 PECOS PAC ID: 7113156837 Enrollment ID: I20190225000418 |
| Provider Name | Brian M Mccue |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740638444 PECOS PAC ID: 3375837545 Enrollment ID: I20191001000657 |
| Provider Name | John Jacob Heldt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760830723 PECOS PAC ID: 6204121775 Enrollment ID: I20191001001277 |
| Provider Name | Yuefeng Chen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467700716 PECOS PAC ID: 9638451867 Enrollment ID: I20200625000231 |
| Provider Name | Justin Chua |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154856755 PECOS PAC ID: 7315276110 Enrollment ID: I20200928000751 |
| Provider Name | Amy Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114523883 PECOS PAC ID: 1052727955 Enrollment ID: I20210301001110 |
| Provider Name | Yasser Salem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033226303 PECOS PAC ID: 8224070974 Enrollment ID: I20210427000040 |
| Provider Name | Mackenzie M Magley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386204931 PECOS PAC ID: 1850627084 Enrollment ID: I20210630002230 |
| Provider Name | Terri Ratcliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255753810 PECOS PAC ID: 6608007299 Enrollment ID: I20210929002230 |
| Provider Name | Daniel K Ortolano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538690946 PECOS PAC ID: 5890046858 Enrollment ID: I20211026002725 |
| Provider Name | Dinesh Kumar Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306158514 PECOS PAC ID: 3870737653 Enrollment ID: I20211105001075 |
| Provider Name | Waqas J Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386061729 PECOS PAC ID: 3678977717 Enrollment ID: I20220106001178 |
| Provider Name | Briana Elizabeth Beeghly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851774228 PECOS PAC ID: 0446646699 Enrollment ID: I20220415000521 |
| Provider Name | Mosleh Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205496551 PECOS PAC ID: 8325422157 Enrollment ID: I20220829001743 |
| Provider Name | Padmaraj Samarendra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205947512 PECOS PAC ID: 7618351768 Enrollment ID: I20221107000373 |
| Provider Name | Aly Husein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396307369 PECOS PAC ID: 9335475508 Enrollment ID: I20221121002125 |
| Provider Name | Asghar Marwat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942651955 PECOS PAC ID: 6406140813 Enrollment ID: I20230202000188 |
| Provider Name | Syed Raza Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205357688 PECOS PAC ID: 9830512433 Enrollment ID: I20230615002235 |
| Provider Name | Fnu Pirya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376195560 PECOS PAC ID: 9436486800 Enrollment ID: I20230718000724 |
| Provider Name | Muhammad Naqvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285243535 PECOS PAC ID: 9436574738 Enrollment ID: I20230718003466 |
| Provider Name | Symaya Hoque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396353686 PECOS PAC ID: 7315362688 Enrollment ID: I20230718003848 |
Nathan Thomas Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Industrial Park Rd, Meyersdale, PA 15552 Phone: 814-634-5954 Fax: 814-634-9187 | |
Conemaugh Health Initiatives Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Beachley St, Meyersdale, PA 15552 Phone: 814-634-5945 Fax: 814-634-9140 | |
Nathan Thomas Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Industrial Park Rd, Meyersdale, PA 15552 Phone: 814-634-5954 | |
Fhc Meyersdale Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Beachley St, Meyersdale, PA 15552 Phone: 814-634-5935 | |
Chi Nathan Thomas Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Industrial Park Road, Box 336, Meyersdale, PA 15552 Phone: 814-634-5954 Fax: 814-634-9187 | |
Family Health Care Meyersdale - Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Beachley St, Meyersdale, PA 15552 Phone: 814-634-5935 Fax: 814-634-9140 | |
Nathan Thomas Md- Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Industrial Park Road, Meyersdale, PA 15552 Phone: 814-634-0554 Fax: 814-634-9187 |