THOMAS R. ELLENBERGER JR MD PC NPI 1942325592

NPI Information

  • NPI: 1942325592
  • Provider Name: THOMAS R. ELLENBERGER, JR MD PC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 321 MAIN ST STE 5D
    JOHNSTOWN, PA
    ZIP 15901
  • Phone: (814) 535-7885

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NPI Details

THOMAS R. ELLENBERGER, JR MD PC is a medical specialty clinic center in Johnstown, PA. The provider is 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). THOMAS R. ELLENBERGER, JR MD PC NPI is 1942325592. The provider is registered as an organization entity type.

The provider's business location address is:

321 MAIN ST STE 5D
JOHNSTOWN, PA
ZIP 15901-632
Phone: (814) 535-7885
Fax: (814) 535-7079

The provider's authorized official is Thomas Richard Ellenberger .
The authorized official title is President and has the following contact phone number (814) 535-7885.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 9/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyMD018414EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1027796OTHERPENNSYLVANIAHIGHMARK
211978OTHERPENNSYLVANIAUPMC HEALTH PLAN
3EL27796MEDICARE ID-TYPE UNSPECIFIED
40743755OTHERUMWA
50006378450001MEDICAIDPENNSYLVANIA
6C27877MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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