| Windber Care Physicians | |
|
1511 Scalp Ave Johnstown PA 15904-3315 | |
| (814) 254-4207 | |
| (814) 254-4733 |
| Full Name | Windber Care Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 1511 Scalp Ave, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Tom Kurtz (PRESIDENT / CEO) |
| Authorized Official Contact | 8144673702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Windber Care Physicians 1511 Scalp Ave Johnstown PA 15904-3315 Ph: (814) 254-4207 | Windber Care Physicians 1511 Scalp Ave Johnstown PA 15904-3315 Ph: (814) 254-4207 |
| NPI Number | 1104872936 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 06/10/2015 |
| Medicare PECOS PAC ID | 9234187576 |
|---|---|
| Medicare Enrollment ID | O20060727000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104872936 | NPI | - | NPPES |
| 1794402 | Other | PA | HIGHMARK |
| 1007703740019 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD060939L (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | MD434855 (Pennsylvania) | Primary |
| Provider Name | Jyothi Gella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235124918 PECOS PAC ID: 8921040023 Enrollment ID: I20050601000635 |
| Provider Name | Lakshmi Madduru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932383320 PECOS PAC ID: 4789767427 Enrollment ID: I20080219000093 |
| Provider Name | J Eric Wieczorek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356393672 PECOS PAC ID: 7810069580 Enrollment ID: I20080714000007 |
| Provider Name | David A Csikos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578555280 PECOS PAC ID: 9830114107 Enrollment ID: I20100407000712 |
| Provider Name | David Bencie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720070436 PECOS PAC ID: 9133272107 Enrollment ID: I20100517000588 |
| Provider Name | Salah M. Aldergash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649581265 PECOS PAC ID: 9436393436 Enrollment ID: I20130912000585 |
| Provider Name | Michelle Lee Corle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033662770 PECOS PAC ID: 2466740170 Enrollment ID: I20161013000025 |
| Provider Name | Ralph S Aiken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053502021 PECOS PAC ID: 6709187834 Enrollment ID: I20180928000096 |
| Provider Name | Jaclyn N Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720748825 PECOS PAC ID: 5294122610 Enrollment ID: I20220503001302 |
| Provider Name | Syed Zain Ayaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437405388 PECOS PAC ID: 1153549589 Enrollment ID: I20220526002073 |
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