MILLCREEK COMMUNITY HOSPITAL (NPI# 1245865815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245865815 |
| Entity Type | Organization |
| Organization Name | MILLCREEK COMMUNITY HOSPITAL |
| Practice Address |
4740 Peach St Erie PA 16509-2008 |
| Mailing Address |
5515 Peach St Erie PA 16509-2603 |
| Practice Telephone | 8144543174 |
| Mailing Telephone | 8148644031 |
| Mailing Fax Number | 8148687770 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |
| Authorized Official Name | MICHAEL HELLER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8148687758 |
| Is Organization Subpart | Y |
| Parent Organization Name | MILLCREEK COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219022 | Millcreek Community Hospital | Internal Medicine | 5535 Peach St Fl 1, Erie, PA 16509-2603 | 2020-03-06 |
| 1174158737 | Millcreek Community Hospital | Family Medicine | 5401 Peach St Ste 3400, Erie, PA 16509-2601 | 2020-03-04 |
| 1548263973 | Millcreek Community Hospital | General Acute Care Hospital | 5515 Peach St, Erie, PA 16509-2603 | 2005-05-31 |
| 1619598638 | Millcreek Community Hospital | Obstetrics & Gynecology | 5401 Peach St Ste 3100, Erie, PA 16509-2601 | 2020-04-30 |
| 1568097939 | Millcreek Community Hospital | Family Medicine | 537 W 18th St, Erie, PA 16502-1722 | 2020-03-06 |
| 1245865583 | Millcreek Community Hospital | Neuromusculoskeletal Medicine & OMM | 5401 Peach St Ste 3500, Erie, PA 16509-2601 | 2020-03-06 |
| 1578198941 | Millcreek Community Hospital | Family Medicine | 2625 Parade St, Erie, PA 16504-2809 | 2020-03-06 |
| 1871128447 | Millcreek Community Hospital | Urology | 5401 Peach St Ste 3600, Erie, PA 16509-2601 | 2020-03-04 |
| 1164057840 | Millcreek Community Hospital | Neuromusculoskeletal Medicine & OMM | 5637 Peach St, Erie, PA 16509-2605 | 2020-03-03 |
| 1952935892 | Millcreek Community Hospital | Pain Medicine | 5401 Peach St Ste 3300, Erie, PA 16509-2601 | 2020-03-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MILLCREEK COMMUNITY HOSPITAL | 5515 Peach St, Erie, PA 16509-2603 |
| Street Address |
4740 PEACH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790318988 | Medical Associates of Erie | Psychiatry & Neurology | 4740 Peach St, Erie, PA 16509-2008 | 2020-02-17 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790318988 | Medical Associates of Erie | Psychiatry & Neurology | 4740 Peach St, Erie, PA 16509-2008 | 2020-02-17 |
| 1629398672 | Healing Hearts Psychiatry LLC | Psychiatry & Neurology | 3255 West 26th Street, Erie, PA 16506-2507 | 2010-06-01 |
| 1548455363 | Matthew Dejohn | Psychiatry & Neurology | 1611 Peach St Ste 105, Erie, PA 16501-2120 | 2007-09-14 |
| 1700958428 | Mathew W Sipple | Psychiatry & Neurology | 3250 W. Lake Rd, Suite 2, Erie, PA 16505-3691 | 2006-11-15 |
| 1679502744 | Angela Palys Lindemuth | Psychiatry & Neurology | 135 East 38th St, Dept of Veteran Affairs Medical Center, Erie, PA 16504 | 2006-07-01 |
| 1427013986 | Khoa D Tran | Psychiatry & Neurology | 232 W 25th St # 3r, Erie, PA 16544-6929 | 2006-04-19 |
| 1609847755 | Charles Joy | Psychiatry & Neurology | 101 E 6th St, Erie, PA 16501-1201 | 2006-01-27 |
| 1346211414 | Sean C Su | Psychiatry & Neurology | 2910 State St, Erie, PA 16508-1832 | 2006-01-27 |
| 1285619007 | Richard Harris Spector | Psychiatry & Neurology | 4619 Peach St, Erie, PA 16509-2006 | 2005-12-14 |
| 1619592581 | Brandon Robert Madura | Psychiatry & Neurology | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-16 |
| 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.