| Blair Gastroenterology Associates | |
|
810 Valley View Blvd Altoona PA 16602-6342 | |
| (814) 946-5469 | |
| (814) 946-4970 |
| Full Name | Blair Gastroenterology Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 810 Valley View Blvd, Altoona, Pennsylvania |
| Authorized Official Name and Position | Ralph D Mckibbin (SHAREHOLDER) |
| Authorized Official Contact | 8149465469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blair Gastroenterology Associates 810 Valley View Blvd Altoona PA 16602-6342 Ph: (814) 946-5469 | Blair Gastroenterology Associates 810 Valley View Blvd Altoona PA 16602-6342 Ph: (814) 946-5469 |
| NPI Number | 1295761666 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 06/16/2016 |
| Medicare PECOS PAC ID | 4284699257 |
|---|---|
| Medicare Enrollment ID | O20041201000706 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295761666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | MD439868 (Pennsylvania) | Secondary |
| Provider Name | Katherine K Skebeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952320277 PECOS PAC ID: 4284685801 Enrollment ID: I20050201000536 |
| Provider Name | Edmond J Bou Assaf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346449071 PECOS PAC ID: 8820163876 Enrollment ID: I20080826000560 |
| Provider Name | David Lee Kerstetter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619994076 PECOS PAC ID: 1759405848 Enrollment ID: I20100826000117 |
| Provider Name | Rajih A. Alkhafaji |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932133493 PECOS PAC ID: 7214944909 Enrollment ID: I20100923001135 |
| Provider Name | Lance C. Defrancisco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306864400 PECOS PAC ID: 4587671276 Enrollment ID: I20100923001413 |
| Provider Name | Ralph D. Mckibbin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467486035 PECOS PAC ID: 6305853094 Enrollment ID: I20100923001481 |
| Provider Name | Ronald J. Brzana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861426173 PECOS PAC ID: 8820996358 Enrollment ID: I20100928000907 |
| Provider Name | Robert K Bailey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568695039 PECOS PAC ID: 4688842362 Enrollment ID: I20110725000277 |
| Provider Name | Brianne J Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356771406 PECOS PAC ID: 2062641681 Enrollment ID: I20140131000293 |
| Provider Name | Mitul T Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235347485 PECOS PAC ID: 3870768963 Enrollment ID: I20140812001562 |
| Provider Name | Anan Said |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780983205 PECOS PAC ID: 9931408044 Enrollment ID: I20190627003306 |
Judith L. Jacobus, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 12th Ave. Bldg F, Altoona, PA 16601 Phone: 814-944-8012 Fax: 814-944-4852 | |
Altoona Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 12th Ave, Altoona, PA 16601 Phone: 814-942-9600 Fax: 814-942-9617 | |
Blair Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 9th Ave, Station Medical Center, Altoona, PA 16602 Phone: 814-946-1655 Fax: 814-949-7616 | |
Altoona Behavioral Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-942-5000 Fax: 814-942-9500 | |
Upmc Altoona Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Howard Ave., Altoona, PA 16601 Phone: 814-889-2223 Fax: 814-889-7808 | |
Blair Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 9th Ave, Station Medical Center, Altoona, PA 16602 Phone: 814-946-1655 Fax: 814-949-7616 | |
K Siripala Md & Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 Chestnut Ave, Altoona, PA 16601 Phone: 814-946-3500 Fax: 814-946-5067 |