Individual provider · Type 1 NPI

Russell John Enedy, PA-C

Physician Assistant · Johnstown, PA

NPI number 1770819096 Active

Practice location

1111 Franklin St, Suite 410
Johnstown, PA 15905-4330

Call (814) 536-7851 Map

Fax (814) 539-3649

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA053940 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1770819096

Russell John Enedy, PA-C's National Provider Identifier is 1770819096, issued on Oct 21, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Johnstown, PA. The record was last updated on Oct 17, 2014.