Healthcare Provider Details

I. General information

NPI: 1467026682
Provider Name (Legal Business Name): ANDRES J ONETTO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2021
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CONEMAUGH MEMORIAL MEDICAL CENTER 1086 FRANKLIN STREET
JOHNSTOWN PA
15905
US

IV. Provider business mailing address

CONEMAUGH MEMORIAL MEDICAL CENTER 1086 FRANKLIN STREET
JOHNSTOWN PA
15905
US

V. Phone/Fax

Practice location:
  • Phone: 814-534-3745
  • Fax:
Mailing address:
  • Phone: 814-534-3745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD494557
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMT227020
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD-27259
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: