Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

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
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

Other providers in Johnstown