Healthcare Provider Details

I. General information

NPI: 1629077888
Provider Name (Legal Business Name): LOUIS ALAN SCHENFELD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 05/15/2020
Certification Date: 05/15/2020
Deactivation Date: 03/20/2006
Reactivation Date: 03/24/2006

III. Provider practice location address

1111 FRANKLIN ST
JOHNSTOWN PA
15905-4330
US

IV. Provider business mailing address

2113 WOODCREST DR
JOHNSTOWN PA
15905-1535
US

V. Phone/Fax

Practice location:
  • Phone: 814-539-3666
  • Fax: 814-539-3666
Mailing address:
  • Phone: 814-255-7109
  • Fax: 814-255-7109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD027742E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD 027742E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: