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THOMAS R. ELLENBERGER, JR MD PC
NPI 1942325592
Clinic/Center - Medical Specialty in Johnstown, PA

Active since March 20, 2007
321 MAIN ST STE 5D, JOHNSTOWN, PA 15901(814) 535-7885(814) 535-7079 Get Directions Write a Review

NPPES record last updated: September 27, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas R. Ellenberger, Jr Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS R. ELLENBERGER, JR MD PC (NPI 1942325592) is a healthcare organization registered as a medical specialty in Johnstown, Pennsylvania and active in the NPI registry since March 2007. The organization lists Thomas Richard Ellenberger, President, as its authorized official.

NPPES Registry Identity

NPI1942325592
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameTHOMAS R. ELLENBERGER, JR MD PC
Location Address321 MAIN ST STE 5DJohnstown, PA 15901-1632
Mailing Address321 Main St Ste 5dJohnstown, PA 15901-1632 · (814) 535-7885 · Fax (814) 535-7079
Phone(814) 535-7885
Fax(814) 535-7079
Organization SubpartNo
Authorized OfficialThomas Richard EllenbergerPresident · (814) 535-7885
Enumeration DateMarch 20, 2007
Last NPPES UpdateSeptember 27, 2007
✔ NPI 1942325592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in PA · MD018414E
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).
321 MAIN ST STE 5D, Johnstown, PA 15901
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Other Identifiers 6

Other027796PA · Highmark
Other11978PA · Upmc Health Plan
Medicare ID-Type UnspecifiedEL27796
Other0743755Umwa
Medicaid0006378450001PA
Medicare UPINC27877

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas R. Ellenberger, Jr MD PC's NPI number?

The NPI number for Thomas R. Ellenberger, Jr MD PC is 1942325592. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Thomas R. Ellenberger, Jr MD PC located?

Thomas R. Ellenberger, Jr MD PC is located at 321 Main St Ste 5D, Johnstown, PA 15901. The listed phone number is (814) 535-7885.

What is Thomas R. Ellenberger, Jr MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Thomas R. Ellenberger, Jr MD PC was last updated on September 27, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.