Provider Demographics
NPI:1629077888
Name:SCHENFELD, LOUIS ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:ALAN
Last Name:SCHENFELD
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 1:2113 WOODCREST DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-1535
Mailing Address - Country:US
Mailing Address - Phone:814-255-7109
Mailing Address - Fax:814-255-7109
Practice Address - Street 1:1111 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-4330
Practice Address - Country:US
Practice Address - Phone:814-539-3666
Practice Address - Fax:814-539-3666
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2020-05-15
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-03-24
Provider Licenses
StateLicense IDTaxonomies
PAMD 027742E207RI0200X
PAMD027742E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA405589Medicare ID - Type Unspecified
PAB41279Medicare UPIN