| Richard M Kastelic Md & Assoc Pc | |
|
322 Warren St, Ste 300, Johnstown, PA 15905-3437 | |
| (814) 288-4498 | |
| (814) 288-5427 |
| Full Name | Richard M Kastelic Md & Assoc Pc |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 322 Warren St, Johnstown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821042417 | NPI | - | NPPES |
| 1007743550005 | Medicaid | PA | |
| 1007743550007 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | MD040121L (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | MD040121L (Pennsylvania) | Primary |
| Provider Name | Ajit Shah |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1245227735 PECOS PAC ID: 4082512942 Enrollment ID: I20031230000382 |
| Provider Name | Gautam P Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316900533 PECOS PAC ID: 6901705912 Enrollment ID: I20040108000034 |
| Provider Name | Farhad Salari-lak |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1205838059 PECOS PAC ID: 3072506369 Enrollment ID: I20040406000912 |
| Provider Name | Robert G Pickerill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710971882 PECOS PAC ID: 4486630464 Enrollment ID: I20040720000786 |
| Provider Name | Thomas Patrick Power |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831188788 PECOS PAC ID: 6002888591 Enrollment ID: I20040806000056 |
| Provider Name | Kevin Alan Sugalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902807647 PECOS PAC ID: 6406829076 Enrollment ID: I20040813000133 |
| Provider Name | Thomas A Kavic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639140882 PECOS PAC ID: 8729076138 Enrollment ID: I20050210000260 |
| Provider Name | Juancarlos Barra |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881649804 PECOS PAC ID: 4385674472 Enrollment ID: I20060626000334 |
| Provider Name | Richard David Grebosky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912960394 PECOS PAC ID: 7416955190 Enrollment ID: I20061113000017 |
| Provider Name | Philip Anthony Basala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558376137 PECOS PAC ID: 7517035900 Enrollment ID: I20081013000357 |
| Provider Name | Mark M Malicki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083619209 PECOS PAC ID: 1658495767 Enrollment ID: I20100826000274 |
| Provider Name | Richard Michael Kastelic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548265986 PECOS PAC ID: 6901882844 Enrollment ID: I20101008000982 |
| Provider Name | Tracey Eckenrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679901409 PECOS PAC ID: 9335362078 Enrollment ID: I20140527000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard M Kastelic Md & Assoc Pc 322 Warren St, Ste 300, Johnstown, PA 15905-3443 Ph: (814) 288-4498 | Richard M Kastelic Md & Assoc Pc 322 Warren St, Ste 300, Johnstown, PA 15905-3437 Ph: (814) 288-4498 |