| Richard M Kastelic Md & Assoc Pc | |
|
322 Warren St Ste 300 Johnstown PA 15905-3437 | |
| (814) 288-4498 | |
| (814) 288-5427 |
| Full Name | Richard M Kastelic Md & Assoc Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 322 Warren St, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Richard M. Kastelic (PRESIDENT) |
| Authorized Official Contact | 8142881418 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard M Kastelic Md & Assoc Pc 322 Warren St Ste 300 Johnstown PA 15905-3443 Ph: (814) 288-4498 | Richard M Kastelic Md & Assoc Pc 322 Warren St Ste 300 Johnstown PA 15905-3437 Ph: (814) 288-4498 |
| NPI Number | 1821042417 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 11/13/2007 |
| Medicare PECOS PAC ID | 8022094150 |
|---|---|
| Medicare Enrollment ID | O20040628001565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821042417 | NPI | - | NPPES |
| 1007743550005 | Medicaid | PA | |
| 1007743550007 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD040121L (Pennsylvania) | Primary |
| 213E00000X | Podiatrist | MD040121L (Pennsylvania) | Secondary |
| Provider Name | Ajit Shah |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1245227735 PECOS PAC ID: 4082512942 Enrollment ID: I20031230000382 |
| Provider Name | Gautam P Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316900533 PECOS PAC ID: 6901705912 Enrollment ID: I20040108000034 |
| Provider Name | Farhad Salari-lak |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1205838059 PECOS PAC ID: 3072506369 Enrollment ID: I20040406000912 |
| Provider Name | Robert G Pickerill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710971882 PECOS PAC ID: 4486630464 Enrollment ID: I20040720000786 |
| Provider Name | Thomas Patrick Power |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831188788 PECOS PAC ID: 6002888591 Enrollment ID: I20040806000056 |
| Provider Name | Kevin Alan Sugalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902807647 PECOS PAC ID: 6406829076 Enrollment ID: I20040813000133 |
| Provider Name | Thomas A Kavic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639140882 PECOS PAC ID: 8729076138 Enrollment ID: I20050210000260 |
| Provider Name | Gregory J Rys |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164428728 PECOS PAC ID: 8729093398 Enrollment ID: I20060217000664 |
| Provider Name | Richard David Grebosky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912960394 PECOS PAC ID: 7416955190 Enrollment ID: I20061113000017 |
| Provider Name | Philip Anthony Basala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558376137 PECOS PAC ID: 7517035900 Enrollment ID: I20081013000357 |
| Provider Name | Mark M Malicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083619209 PECOS PAC ID: 1658495767 Enrollment ID: I20100826000274 |
| Provider Name | Richard Michael Kastelic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548265986 PECOS PAC ID: 6901882844 Enrollment ID: I20101008000982 |
| Provider Name | Tracey Ann Eckenrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679901409 PECOS PAC ID: 9335362078 Enrollment ID: I20140527000510 |
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Chi Berkley Hills Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Tech Park Dr, Suite 1130, Johnstown, PA 15901 Phone: 814-475-8700 Fax: 814-475-8796 | |
Chi Gvozden Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Tech Park Dr, Suite 1120, Johnstown, PA 15901 Phone: 814-475-8700 Fax: 814-475-8798 | |
Richard J Green Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 Vine St, Johnstown, PA 15901 Phone: 814-535-5841 Fax: 814-539-3424 | |
Nulton Diagnostic & Treatment Center, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 College Park Plz, Johnstown, PA 15904 Phone: 814-262-0025 Fax: 814-266-8745 | |
Windber Care Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1511 Scalp Ave, Johnstown, PA 15904 Phone: 814-254-4207 Fax: 814-254-4733 | |
Fairfield Ave Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 226 Fairfield Ave, Johnstown, PA 15906 Phone: 814-535-6167 |