SHELLY A. RESPECKI (NPI# 1174920193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174920193 |
| Entity Type | Individual |
| Full Name | SHELLY A. RESPECKI |
| Credential | PA-C |
| Practice Address |
120 E Second St 3rd Floor Erie PA 16507-1578 |
| Practice Telephone | 8148778000 |
| Practice Fax Number | 8144522210 |
| Mailing Telephone | 8148778000 |
| Mailing Fax Number | 8144522210 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA057353 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
120 E SECOND ST 3RD FLOOR |
| City | ERIE |
| State | PA |
| Zip Code | 16507-1578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821612987 | Nicholas William Todhunter | Student in an Organized Health Care Education/Training Program | 120 E Second St 3rd Floor, Erie, PA 16507-1578 | 2020-06-04 |
| 1457970188 | Vanessa Fares Dwairi | Student in an Organized Health Care Education/Training Program | 120 E Second St 3rd Floor, Erie, PA 16507-1578 | 2020-04-13 |
| 1770111056 | Vladimir Ilin | Student in an Organized Health Care Education/Training Program | 120 E Second St 3rd Floor, Erie, PA 16507-1578 | 2020-03-31 |
| 1851954226 | Reza Danesh | Student in an Organized Health Care Education/Training Program | 120 E Second St 3rd Floor, Erie, PA 16507-1578 | 2019-04-20 |
| 1316438146 | Sudipa Biswas | Student in an Organized Health Care Education/Training Program | 120 E Second St 3rd Floor, Erie, PA 16507-1578 | 2018-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
| 1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
| 1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
| 1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
| 1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
| 1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
| 1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
| 1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
| Find all providers in zip 16507 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496872 | Maureen Grady | Physician Assistant | 240 West 11th Street, Suite 2, Erie, PA 16501 | 2019-09-17 |
| 1801105127 | Diane Marie Corey | Physician Assistant | 2620 Sigsbee St, Erie, PA 16508-1721 | 2010-10-04 |
| 1124124318 | Tamara J. Murphy | Physician Assistant | 100 Peach Street, Suite 200, Bayfront Digestive Disease, Erie, PA 16507-1423 | 2006-09-15 |
| 1508472622 | Liam Cunningham | Physician Assistant | 2374 Village Common Dr Ste 100, Erie, PA 16506-7201 | 2020-09-23 |
| 1679181093 | Micaela M Lippert | Physician Assistant | 333 State St Ste 104, Erie, PA 16507-1463 | 2020-07-22 |
| 1255971222 | Emina Vakufac | Physician Assistant | 2202 W 15th St, Erie, PA 16505-4510 | 2020-01-08 |
| 1679118269 | Alexandra Marie Hartman | Physician Assistant | 232 W 25th St, Erie, PA 16544-0002 | 2019-11-07 |
| 1982254173 | Erin Elizabeth Lipnicky | Physician Assistant | 118 E 2nd St, Erie, PA 16507-1502 | 2019-09-19 |
| 1841756483 | Justine M Koehler | Physician Assistant | 2315 Myrtle St Ste 190, Erie, PA 16502-4604 | 2019-02-19 |
| 1356814321 | Sarah Ann Patsy | Physician Assistant | 3413 Cherry St, Erie, PA 16508-2678 | 2019-01-02 |
| 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.