SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE (NPI# 1104906874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104906874 |
| Entity Type | Organization |
| Organization Name | SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE |
| Other Organization Name | SAINT VINCENT SURGICAL ONCOLOGY |
| Practice Address |
145 W 23rd St Suite 202 Erie PA 16502-2858 |
| Mailing Address |
3530 Peach St Suite Ll1 Erie PA 16508-2768 |
| Practice Telephone | 8144518008 |
| Practice Fax Number | 8144561528 |
| Mailing Telephone | 8148605000 |
| Mailing Fax Number | 8148605050 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DANA BOATMAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8144525264 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007725200053 | 05 |
| Other Name | Type Code |
|---|---|
| Saint Vincent Surgical Oncology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346336724 | Saint Vincent Medical Education and Research Institute | Family Medicine | 4535 W Ridge Rd, Erie, PA 16506-1435 | 2006-10-05 |
| 1306931134 | Saint Vincent Medical Education and Research Institute | Family Medicine | 4671 W Lake Rd, Erie, PA 16505-1441 | 2006-10-04 |
| 1588029276 | Saint Vincent Medical Education and Research Institute | Dietitian, Registered | 145 W 23rd St, Suite 302a, Erie, PA 16502-2858 | 2015-12-22 |
| 1649649088 | Saint Vincent Medical Education and Research Institute | Obstetrics & Gynecology | 2265 Market St, Suite B, Warren, PA 16365-4682 | 2015-09-16 |
| 1780098269 | Saint Vincent Medical Education and Research Institute | Orthopaedic Surgery | 125 W Walnut St, Titusville, PA 16354-2517 | 2014-06-12 |
| 1992119473 | Saint Vincent Medical Education and Research Institute | Internal Medicine | 322 W Main St, Titusville, PA 16354-1615 | 2014-06-12 |
| 1427461052 | Saint Vincent Medical Education and Research Institute | Family Medicine | 111 Bridge St, Tionesta, PA 16353-9737 | 2014-06-11 |
| 1891109427 | Saint Vincent Medical Education and Research Institute | Family Medicine | 231 N Main St, Pleasantville, PA 16341-9722 | 2014-06-11 |
| 1770996308 | Saint Vincent Medical Education and Research Institute | Surgery | 150 W Central Ave, Suite 3, Titusville, PA 16354-1724 | 2014-06-11 |
| 1497094551 | Saint Vincent Medical Education and Research Institute | Urology | 311 W 24th St, Suite 101, Erie, PA 16502-2665 | 2013-02-11 |
| Street Address |
145 W 23RD ST SUITE 202 |
| City | ERIE |
| State | PA |
| Zip Code | 16502-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437148418 | Jason D Crilley | Podiatrist | 145 W 23rd St, Suite 302a, Erie, PA 16502-2858 | 2005-10-21 |
| 1699286716 | Kaitlyn Sabo | Physician Assistant | 145 W 23rd St, Erie, PA 16502-2858 | 2017-10-16 |
| 1699130989 | Victoria Barko | Dietitian, Registered | 145 W 23rd St, Ste 302a, Erie, PA 16502-2858 | 2015-12-31 |
| 1588029276 | Saint Vincent Medical Education and Research Institute | Dietitian, Registered | 145 W 23rd St, Suite 302a, Erie, PA 16502-2858 | 2015-12-22 |
| 1821419813 | Saint Vincent Diabetes Resource Outpatient Nutrition Center | General Acute Care Hospital | 145 W 23rd St, Suite 302, Erie, PA 16544-0002 | 2013-12-18 |
| 1942540141 | Linda M Johnson | Nurse Practitioner | 145 W 23rd St, Suite 201, Erie, PA 16502-2858 | 2013-02-25 |
| 1326316266 | Kathleen Ann Scutella | Nurse Practitioner | 145 W 23rd St, Suite 303, Erie, PA 16502-2858 | 2011-12-07 |
| 1053696997 | Lake Erie Medical Group PC | Family Medicine | 145 W 23rd St, Suite 202, Erie, PA 16502-2858 | 2011-10-11 |
| 1114201431 | Saint Vincent Medical Education and Research Institute | Surgery | 145 W 23rd St, Suite 303, Erie, PA 16502-2858 | 2011-10-05 |
| 1043535453 | Christopher R Serafini | Family Medicine | 145 W 23rd St, Suite 101, Erie, PA 16502-2806 | 2010-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
| Find all providers in zip 16502 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535028 | Allegheny Clinic | Surgery | 2508 Myrtle St Ste 100, Erie, PA 16502-2700 | 2020-07-16 |
| 1538582846 | The Center for Breast Health | Surgery | 311 W 24th St, Suite 306, Erie, PA 16502-2665 | 2014-01-23 |
| 1356562094 | Danielle M Duchini | Surgery | 311 W 24th St, Suite 306, Erie, PA 16502-2665 | 2007-05-01 |
| 1629195912 | The Center for Breast Health | Surgery | 3211 Liberty St, Suite 302, Erie, PA 16508-2575 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551009 | Amanda Mauck | Surgery | 3 Saint Francis Way Ste 103, Cranberry Township, PA 16066-5120 | 2018-06-11 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1639554850 | Lancaster Medical Group, LLC | Surgery | 233 College Ave Ste 203, Lancaster, PA 17603-3385 | 2015-07-29 |
| 1124400536 | Ashlie Lauren Nadler | Surgery | 3509 N. Broad St. Temple University Hospital, Graduate Medical Education, Philadelphia, PA 19140 | 2015-06-22 |
| 1609216886 | Gordon Francis Schwartz Md PC | Surgery | 237 S 18th St, # 21-d, Philadelphia, PA 19103-6161 | 2013-07-02 |
| 1104185610 | Antoine Jahshan | Surgery | 72 Cornell Rd, Bala Cynwyd, PA 19004-2101 | 2012-05-04 |
| 1851525869 | Elena Paulus Lamb | Surgery | 830 Old Lancaster Rd Ste 306, Bryn Mawr, PA 19010 | 2009-05-05 |
| 1356582555 | Lehigh Valley Physician Group | Surgery | 401 N 17th St Ste 311, Allentown, PA 18104-5051 | 2009-03-18 |
| 1194883785 | Andrew Watson | Surgery | 5150 Centre Avenue, Pittsburgh, PA 15232 | 2006-12-05 |
| 1114981123 | Aria Health Physician Services | Surgery | 240 Middletown Blvd Ste 101d, Langhorne, PA 19047-1832 | 2006-04-14 |
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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.