Provider Demographics
NPI:1487663134
Name:CARNEY, DAVID J (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:CARNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 OLD SCALP AVE
Mailing Address - Street 2:SUITE 275
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-1763
Mailing Address - Country:US
Mailing Address - Phone:814-262-7447
Mailing Address - Fax:814-262-7499
Practice Address - Street 1:903 OLD SCALP AVE
Practice Address - Street 2:SUITE 275
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-1763
Practice Address - Country:US
Practice Address - Phone:814-262-7447
Practice Address - Fax:814-262-7499
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041294L208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
704344OtherHIGHMARK BCBS
PA0012804640001Medicaid
PA0012804640001Medicaid
704344OtherHIGHMARK BCBS