CHEVELTA A BOSTICK-SMITH (NPI# 1144399619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144399619 |
| Entity Type | Individual |
| Full Name | CHEVELTA A BOSTICK-SMITH |
| Credential | DO |
| Practice Address |
5401 Peach St Suite 3100 Erie PA 16509-2601 |
| Mailing Address |
1 Lecom Pl Erie PA 16505-2571 |
| Practice Telephone | 8148687830 |
| Practice Fax Number | 8148682138 |
| Mailing Fax Number | 8148682522 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2017-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | OS016822 | PA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 25MB07958800 | NJ | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | C2-0008113 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0154750 | 05 | |
| PA | 1028777090006 | 05 |
| Street Address |
5401 PEACH ST SUITE 3100 |
| 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 |
| 1043570443 | Medical Associates of Erie Inc. | Non-Pharmacy Dispensing Site | 5401 Peach St, 3rd Floor, Erie, PA 16509-2601 | 2012-05-21 |
| 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 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467655654 | Christopher Deniel Harvey | Obstetrics & Gynecology | 118 E 2nd St Ste 1340, Erie, PA 16507-1502 | 2007-06-06 |
| 1174647911 | James Joseph Thomas Jr. | Obstetrics & Gynecology | Women's Care Center Medical Services, 4402 Peach St. Suite 302, Erie, PA 16509 | 2007-03-19 |
| 1619078136 | Elizabeth A Wise | Obstetrics & Gynecology | 2315 Myrtle St Ste 220, Erie, PA 16502-4609 | 2006-09-26 |
| 1346341849 | Mark E Townsend | Obstetrics & Gynecology | 104 East 2nd Street 5th Floor, Contemporary Gynecology, Erie, PA 16507-1532 | 2006-09-26 |
| 1104925668 | Carla Picardo | Obstetrics & Gynecology | 4125 W Ridge Rd, Erie, PA 16506-1763 | 2006-09-21 |
| 1376508572 | David L Beaton | Obstetrics & Gynecology | 4000 Sterrettania Rd, Erie, PA 16506-4125 | 2006-04-19 |
| 1891773149 | Alison L Mall | Obstetrics & Gynecology | 611 Mitchell Way, Suite 103, Erie, CO 80516-5441 | 2006-01-06 |
| 1164415766 | Womens Care Center of Erie County Inc | Obstetrics & Gynecology | 4402 Peach St, Ste 302, Erie, PA 16509-1358 | 2005-08-30 |
| 1619598638 | Millcreek Community Hospital | Obstetrics & Gynecology | 5401 Peach St Ste 3100, Erie, PA 16509-2601 | 2020-04-30 |
| 1588100853 | Saint Vincent Medical Education and Research Inst. Inc. | Obstetrics & Gynecology | 145 W 23rd St Ste 303, Erie, PA 16502-2858 | 2017-01-11 |
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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.