Walter V Kowtoniuk (NPI# 1972643336, PAC ID# 5294911004) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1972643336 |
| PAC ID by PECOS | 5294911004 |
| Professional Enrollment ID | I20110513000588 |
| Full Name | Walter V Kowtoniuk |
| Organization Legal Name | FAIRFIELD AVE FAMILY PRACTICE |
| Address |
226 Fairfield Ave Johnstown PA 15906-2310 |
| Phone Number | 8145356167 |
| Gender | M |
| Medical School | UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5597703579 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390110 | CONEMAUGH MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 226 Fairfield Ave, Johnstown, PA 15906-2310 | 8145356167 | FAIRFIELD AVE FAMILY PRACTICE |
| Organization Legal Name | FAIRFIELD AVE FAMILY PRACTICE |
| Physicians | 1 |
| Street Address |
226 FAIRFIELD AVE |
| City | JOHNSTOWN |
| State | PA |
| Zip | 15906-2310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vijay K Malhotra | Internal Medicine | 78 Fairfield Ave, Johnstown, PA 15906-2308 |
| City | JOHNSTOWN |
| Zip Code | 15906 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JOHNSTOWN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Walter V Kowtoniuk.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.