Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Russell John Enedy, PA-C

Individual provider Physician Assistant · NPI 1770819096

Russell John Enedy, PA-C is a Physician Assistant in Johnstown, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Dlp Conemaugh Physician Practices LLC, a 284-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
17
Licensed in
PA
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1111 Franklin St Ste 410
Johnstown, PA 15905-4330 Not confirmed with CMS for 11 years — call before visiting
Phone: (814) 536-7851
Fax: (814) 539-3649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA053940 (PA)

Record details

NPI number1770819096
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 21, 2009
Last updated in NPPESOctober 17, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Dlp Conemaugh Physician Practices Llc — 284 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Dlp Conemaugh Physician Practices LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 284 clinicians in the practice; 12 are shown here.

Other providers in Johnstown