MEDICAL ASSOCIATES OF ERIE INC. (NPI# 1043570443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043570443 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATES OF ERIE INC. |
| Other Organization Name | LECOM INSTITUE FOR SUCCESSFUL AGING |
| Practice Address |
5401 Peach St 3rd Floor Erie PA 16509-2601 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 8148687850 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2014-06-13 |
| Authorized Official Name | KENNY HEINE (VP OPS) |
| Authorized Official Telephone | 8589641506 |
| 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 | OS014134 | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| LECOM INSTITUE FOR SUCCESSFUL AGING | Doing Business As Name - Organization |
| Street Address |
5401 PEACH ST 3RD FLOOR |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558362277 | Patrick Francis Leary | Family Medicine | 5401 Peach St, Suite 3400, Erie, PA 16509-2601 | 2005-08-03 |
| 1962779447 | Marguerite Evanoff-jurkovic | Neuromusculoskeletal Medicine & OMM | 5401 Peach St, Suite 3500, Erie, PA 16509-2601 | 2011-11-28 |
| 1174844310 | Christopher Rial | Family Medicine | 5401 Peach St, Suite 3400, Erie, PA 16509-2601 | 2010-06-22 |
| 1144459728 | Jason E Lee | Podiatrist | 5401 Peach St, Suite 3600, Erie, PA 16509-2601 | 2009-07-05 |
| 1063677524 | Garrett Clark | Internal Medicine | 5401 Peach St, Suite 3500, Erie, PA 16509-2601 | 2008-07-24 |
| 1326242785 | Jan T Hendryx | Neuromusculoskeletal Medicine & OMM | 5401 Peach St, Suite 3500, Erie, PA 16509-2601 | 2007-06-12 |
| 1568583326 | Blake Anne-elizabeth Hoppe | Psychiatry & Neurology | 5401 Peach St, Suite 3600, Erie, PA 16509-2601 | 2007-04-02 |
| 1861539504 | Yvonne Theresa Hoogland | Internal Medicine | 5401 Peach St, Suite 3400, Erie, PA 16509-2601 | 2007-01-31 |
| 1285703058 | Ruel L Taylor | Urology | 5401 Peach St, Suite 3600, Erie, PA 16509-2601 | 2006-11-07 |
| 1144399619 | Chevelta A Bostick-smith | Obstetrics & Gynecology | 5401 Peach St, Suite 3100, Erie, PA 16509-2601 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| 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 |
| 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 |
| 1902175748 | Regional Health Services Inc. | Non-Pharmacy Dispensing Site | 300 State St, 103a, Erie, PA 16507-1427 | 2011-12-23 |
| Find all providers in ERIE | ||||
Please comment or provide details below to improve the information on MEDICAL ASSOCIATES OF ERIE INC..
| 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.