MRS. BRANDI L PENATZER (NPI# 1285774042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285774042 |
| Entity Type | Individual |
| Full Name | MRS. BRANDI L PENATZER |
| Other Name | MISS BRANDI L PARKINSON |
| Credential | PA |
| Practice Address |
337 Somerset St Johnstown PA 15901 |
| Mailing Address |
337 Somerset St Johnstown PA 15901-2541 |
| Practice Telephone | 8145344724 |
| Mailing Telephone | 8145344724 |
| Mailing Fax Number | 4122354012 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2018-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MA-052554 | PA | Other Service Providers |
| N | 207X00000X | Orthopaedic Surgery | MA052554 | PA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | MA052554 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSE # | MA-052554 | 01 |
| Street Address |
337 SOMERSET ST |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891765251 | Rashid A Awan | Internal Medicine | 337 Somerset St, Johnstown, PA 15901-2541 | 2006-01-26 |
| 1700185188 | Upmc/conemaugh Cancer Center | Clinic/Center | 337 Somerset St, John P. Murtha Pavilion, Johnstown, PA 15901-2541 | 2011-03-24 |
| 1760710032 | Hematology Oncology Association | Durable Medical Equipment & Medical Supplies | 337 Somerset St, 2nd Floor, Johnstown, PA 15901-2541 | 2009-11-25 |
| 1932256104 | Oncology Hematology Association | Clinical Medical Laboratory | 337 Somerset St, Johnstown, PA 15901-2541 | 2007-01-03 |
| 1346204807 | Oncology Hematology Association | Durable Medical Equipment & Medical Supplies | 337 Somerset St, Johnstown, PA 15901-2541 | 2006-04-13 |
| 1326015538 | Upmc/conemaugh Cancer Center | Internal Medicine | 337 Somerset St, Johnstown, PA 15901-2541 | 2006-03-07 |
| 1003880469 | Michael D Voloshin | Internal Medicine | 337 Somerset St, Johnstown, PA 15901-2541 | 2006-02-14 |
| 1326012709 | Michelle F Shaffer | Nurse Practitioner | 337 Somerset St, Johnstown, PA 15901-2541 | 2006-02-14 |
| 1255305819 | David F Stefanik | Radiology | 337 Somerset St, Johnstown, PA 15901-2541 | 2006-02-13 |
| 1669446183 | Catherine A Vescovi | Physician Assistant | 337 Somerset St, Johnstown, PA 15901-2541 | 2006-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821540758 | Valley Vision Care | Optometrist | 132 Market St., Johnstown, PA 15901 | 2016-10-26 |
| 1649515552 | Nulton Diagnostic & Treatment Center, PC. | Community/Behavioral Health | 110 Franklin Street, Suite 100, Johnstown, PA 15901 | 2012-12-04 |
| 1811126113 | Paul Richard Hoover | Counselor | 131 Market Street, Johnstown, PA 15901 | 2009-07-08 |
| 1013128495 | Subarna Hamid Eisaman | Internal Medicine | 337 Somerset Street, Upmc-john P. Murtha Regional Cance, Department of Radiation Oncology, Johnstown, PA 15901 | 2007-05-25 |
| 1912049115 | Charles G Shea Dmd PC | Dentist | 225 Vine St, Johnstown, PA 15901 | 2007-02-13 |
| 1982773297 | Thomas J Bach | Dentist | 504 Franklin St, Johnstown, PA 15901 | 2006-11-08 |
| 1659458396 | Joseph Andrew Balaschak | Dentist | 216 Dibert Street, Johnstown, PA 15901 | 2006-11-01 |
| 1306951561 | Barry James Senior | Dentist | 248 Vine Street, Johnstown, PA 15901 | 2006-08-20 |
| 1316979396 | Vicki Hess | Social Worker | 417 Main Street, Johnstown, PA 15901 | 2006-07-07 |
| 1043270143 | Highland R Campbell Jr. | Emergency Medicine | 1086 Frankling St, Conemaugh Emergency Physicians Group, Johnstown, PA 15901 | 2006-03-24 |
| Find all providers in zip 15901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508055641 | Kristi Lynn Paetzel | Physician Assistant | 4840 Larimer Pkwy Bldg 1, Johnstown, CO 80534-9012 | 2007-10-15 |
| 1174561419 | James Mendillo | Physician Assistant | 1450 Scalp Ave Ste 106, Johnstown, PA 15904-3340 | 2006-06-02 |
| 1316903487 | Jennifer L Naylor | Physician Assistant | 1425 Scalp Ave Ste 175, Johnstown, PA 15904-3324 | 2006-04-26 |
| 1396716601 | Melissa Jay Leonardis | Physician Assistant | 334 Bloomfield St, Johnstown, PA 15904 | 2006-01-27 |
| 1386629483 | Joan Venerosa | Physician Assistant | 700 S. Perry St., St. Mary's Hospital Fam Hlth Cntr At Johnstown Pediatri, Johnstown, NY 12095 | 2005-12-12 |
| 1891301776 | Karen Richtar | Physician Assistant | 1086 Franklin St, Johnstown, PA 15905-4305 | 2020-09-16 |
| 1225643612 | Calli Morgan Smith | Physician Assistant | 100 Susan Dr, Johnstown, PA 15905-2826 | 2020-09-11 |
| 1215546411 | Jessica Miele | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2020-07-24 |
| 1508480542 | Ellen Kingdom | Physician Assistant | 4397 Ronald Reagan Blvd, Johnstown, CO 80534-6445 | 2020-06-05 |
| 1093355059 | Kristen Thompson | Physician Assistant | 1322 Eisenhower Blvd, Johnstown, PA 15904-3307 | 2020-01-08 |
| Find all providers in JOHNSTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.