BLUE AND GREEN MEDICAL PC – NPI #1821206178
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

BLUE AND GREEN MEDICAL PC is a provider located in JOHNSTOWN, PA. NPPES has assigned the NPI number 1821206178 to BLUE AND GREEN MEDICAL PC on May 18, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE AND GREEN MEDICAL PC below.

NPI Profile for
BLUE AND GREEN MEDICAL PC

NPI Number
1821206178
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE AND GREEN MEDICAL PC
Primary location
1743 GOUCHER STREET
JOHNSTOWN, PA 15905
Phone: (814) 255-0102 Fax: (814) 255-0100
Mailing address
PO BOX 819
JOHNSTOWN, PA 15907-0819
Phone: (814) 255-0102 Fax: (814) 255-0100
Organization Subpart
No
Authorized Official
NELLY TEPPER
OWNER
Phone: (814) 255-0102
Updated
Identifiers

Identifiers for BLUE AND GREEN MEDICAL PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERHIGHMARK GROUPPA1553821
OTHERHIGHMARK INDIVIDUALPA883775
MEDICAIDPA0015959820012
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
PA MD059706L

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.