Provider Demographics
NPI:1609889583
Name:JOHE, DAVID HOWARD (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HOWARD
Last Name:JOHE
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 1:761 JOHNSONBURG RD
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:PA
Mailing Address - Zip Code:15857-3483
Mailing Address - Country:US
Mailing Address - Phone:814-781-8655
Mailing Address - Fax:814-834-6279
Practice Address - Street 1:761 JOHNSONBURG RD
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:PA
Practice Address - Zip Code:15857-3483
Practice Address - Country:US
Practice Address - Phone:814-781-8655
Practice Address - Fax:814-834-6279
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-027103-E207X00000X
NY150266207X00000X
UT4994676-8905207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA110504Medicare ID - Type Unspecified
A83525Medicare UPIN