| J Grant Hormell, MD | |
|
2612 Pleasant Valley Blvd, Altoona, PA 16602-4420 | |
| (814) 944-9355 | |
| (814) 696-0808 |
| Full Name | J Grant Hormell |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 2612 Pleasant Valley Blvd, Altoona, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073513669 | NPI | - | NPPES |
| 0012449780006 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD040654L (Pennsylvania) | Primary |
| Entity Name | Upmc Altoona Regional Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396724217 PECOS PAC ID: 5395659312 Enrollment ID: O20040312000257 |
| Mailing Address | Practice Location Address |
|---|---|
| J Grant Hormell, MD 2612 Pleasant Valley Blvd, Altoona, PA 16602-4420 Ph: (814) 944-9355 | J Grant Hormell, MD 2612 Pleasant Valley Blvd, Altoona, PA 16602-4420 Ph: (814) 944-9355 |
Michael Pedone, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 9th Ave, Altoona, PA 16602 Phone: 814-941-8811 | |
Dr. Sean P Hampton, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3229 Pleasant Valley Blvd Ste 1, Altoona, PA 16602 Phone: 814-215-9494 Fax: 814-281-3507 | |
Dr. Suzanne Y Dib, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2950 Fairway Dr, Suite 2, Altoona, PA 16602 Phone: 814-942-9494 Fax: 814-942-4403 | |
Kateri Christabel D'silva, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 501 Howard Ave Ste F4, Altoona, PA 16601 Phone: 814-889-2701 Fax: 814-889-7864 | |
Veronica Li, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 501 Howard Ave, Suite F2, Altoona, PA 16601 Phone: 814-889-2701 Fax: 814-889-7864 | |
Lance B Joseph, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1304 7th St, Altoona, PA 16601 Phone: 814-626-9716 Fax: 814-260-4151 |