EASTSIDE MEDICAL CENTER (NPI# 1023263415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023263415 |
| Entity Type | Organization |
| Organization Name | EASTSIDE MEDICAL CENTER |
| Practice Address |
2625 Parade St Erie PA 16504-2809 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 8144526383 |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | OS004474L | PA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992926786 | Eastside Medical Center | Pediatrics | 2625 Parade St, Erie, PA 16504-2809 | 2007-05-01 |
| Street Address |
2625 PARADE ST |
| City | ERIE |
| State | PA |
| Zip Code | 16504-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447258439 | Stefanie L Young | Advanced Practice Midwife | 2625 Parade St, Erie, PA 16504-2809 | 2005-07-13 |
| 1578198941 | Millcreek Community Hospital | Family Medicine | 2625 Parade St, Erie, PA 16504-2809 | 2020-03-06 |
| 1871030304 | Steven Coleman | Internal Medicine | 2625 Parade St, Erie, PA 16504-2809 | 2017-01-23 |
| 1922201268 | Millcreek Community Hospital | General Acute Care Hospital | 2625 Parade St, Erie, PA 16504-2809 | 2007-06-06 |
| 1992926786 | Eastside Medical Center | Pediatrics | 2625 Parade St, Erie, PA 16504-2809 | 2007-05-01 |
| 1346368883 | Medical Associates of Erie | Family Medicine | 2625 Parade St, Erie, PA 16504-2809 | 2007-03-26 |
| 1740245844 | Steven Habusta | Orthopaedic Surgery | 2625 Parade St, Erie, PA 16504-2809 | 2006-04-20 |
| 1972574390 | David Fox | Family Medicine | 2625 Parade St, Erie, PA 16504-2809 | 2006-02-01 |
| 1134128341 | Anthony Mark Ruffa | Family Medicine | 2625 Parade St, Erie, PA 16504-2809 | 2005-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306187638 | Stephanie Jo Hohos-mahoney | Speech-Language Pathologist | 135 East 38 Street, Erie, PA 16504 | 2013-03-12 |
| 1154541225 | Bonni Burke | Dental Hygienist | 135 East 38th St., Erie, PA 16504 | 2007-04-30 |
| 1881775278 | Sarah T Goebel | Social Worker | Erie Dept. of Veteran Affairs Medical Center, 135 East 38th St., Erie, PA 16504 | 2006-10-18 |
| 1386742971 | Michael Paul Fitzgerald | Physician Assistant | 135 East 38 Th, Erie, PA 16504 | 2006-09-20 |
| 1285647917 | Michele L Harrington | Audiologist | 135 E 38th St., Erie, PA 16504 | 2006-08-14 |
| 1427081595 | Glenwood Internal Medicine, LLP | Internal Medicine | 213 East 41st St., Erie, PA 16504 | 2006-07-09 |
| 1679502744 | Angela Palys Lindemuth | Psychiatry & Neurology | 135 East 38th St, Dept of Veteran Affairs Medical Center, Erie, PA 16504 | 2006-07-01 |
| 1992748081 | Paula Christine Bauda | Nurse Practitioner | 135 East 38th Street, Erie, PA 16504 | 2006-06-14 |
| 1487605267 | Kimberly Ann Thompson | Internal Medicine | 213 East 41st St, Erie, PA 16504 | 2006-05-15 |
| 1053701508 | Bomber Ferraro II | Counselor | 135 East 38th St, Erie, PA 16504 | 2015-02-04 |
| Find all providers in zip 16504 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588994982 | Erik O. Esper, D.o. | Non-Pharmacy Dispensing Site | 5050 W Ridge Rd, Erie, PA 16506-1216 | 2010-01-06 |
| 1558402156 | Regional Health Services Inc. | Non-Pharmacy Dispensing Site | 1600 Peninsula Dr, Suite C, Erie, PA 16505-4261 | 2007-02-08 |
| 1083067516 | Regional Health Services Inc | Non-Pharmacy Dispensing Site | 510 Cranberry St, Suite 200, Erie, PA 16507-1075 | 2016-07-20 |
| 1952747917 | Regional Health Services Inc | Non-Pharmacy Dispensing Site | 3330 Peach St, 106 Ent B, Erie, PA 16508-2769 | 2013-05-17 |
| 1528303617 | Primary Health Network | Non-Pharmacy Dispensing Site | 650 East Ave, B, Erie, PA 16503-1524 | 2012-11-30 |
| 1427301332 | Medical Associates of Erie, Inc. | Non-Pharmacy Dispensing Site | 5637 Peach St, Erie, PA 16509-2605 | 2012-10-17 |
| 1508117862 | Medical Associates of Erie | Non-Pharmacy Dispensing Site | 537 W 18th St, Erie, PA 16502-1722 | 2012-09-27 |
| 1043570443 | Medical Associates of Erie Inc. | Non-Pharmacy Dispensing Site | 5401 Peach St, 3rd Floor, Erie, PA 16509-2601 | 2012-05-21 |
| 1073873303 | Osteopathic Internal Medicine | Non-Pharmacy Dispensing Site | 2010 W 38th St, 1, Erie, PA 16508-2004 | 2012-05-21 |
| 1629340609 | Erie Physicians Network- Upmc Inc | Non-Pharmacy Dispensing Site | 3535 Pine Ave, Ste 1, Erie, PA 16504-1743 | 2012-02-06 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.