location
search-icon
institution
Thomas R. Ellenberger, Jr Md Pc
Medical Specialty Clinic/Center in Johnstown, Pennsylvania
NPI 1942325592

Thomas R. Ellenberger, Jr Md Pc is a Medical Specialty Clinic/Center based in Johnstown, PA and is specialized in Medical Specialty. Thomas R. Ellenberger, Jr Md Pc practices in Johnstown, PA. The NPI Number for Thomas R. Ellenberger, Jr Md Pc is 1942325592 and holds a License No. MD018414E (Pennsylvania).

The current practice location address for Thomas R. Ellenberger, Jr Md Pc is 321 Main St Ste 5D, Johnstown, PA and can be reached out via phone at 814-535-7885 and via fax at 814-535-7079. You can also correspond with Thomas R. Ellenberger, Jr Md Pc through the mailing address at 321 MAIN ST STE 5D, JOHNSTOWN, PA - 15901-1632 (mailing address contact number: 814-535-7885).

Location: 321 Main St Ste 5D, Johnstown, PA, 15901-1632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942325592
Provider Name
Thomas R. Ellenberger, Jr Md Pc
Credential
Provider Entity Type
Organization
Address
321 Main St Ste 5D, Johnstown, PA, 15901-1632
Phone Number
814-535-7885
Fax Number
814-535-7079
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
027796 01 PA HIGHMARK
0006378450001 05 PA
11978 01 PA UPMC HEALTH PLAN
0743755 01 UMWA
institution
Provider Business Practice Location Address Details
Address
321 Main St Ste 5D
City
Johnstown
State
Pennsylvania
Zip
15901-1632
Phone Number
814-535-7885
Fax Number
814-535-7079
person
Provider Business Mailing Address Details
Address
321 Main St Ste 5D
City
Johnstown
State
Pennsylvania
Zip
15901-1632
Phone Number
814-535-7885
Fax Number
814-535-7079
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
MD018414E (Pennsylvania)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.