MILLCREEK MANOR (NPI# 1346848298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346848298 |
| Entity Type | Organization |
| Organization Name | MILLCREEK MANOR |
| Practice Address |
5535 Peach St Erie PA 16509-2603 |
| Practice Telephone | 8148682496 |
| Practice Fax Number | 8148682581 |
| Mailing Telephone | 8148682496 |
| Mailing Fax Number | 8148682581 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | ERICA DEMAURI (CONTROLLER) |
| Authorized Official Telephone | 8148682496 |
| Is Organization Subpart | Y |
| Parent Organization Name | MILLCREEK HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Millcreek Manor COVID Lab | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274199 | Millcreek Manor | Clinic/Center | 3910 Schaper Ave, Erie, PA 16508-3346 | 2020-01-21 |
| 1588272884 | Millcreek Manor | Pharmacy | 5535 Peach St, Erie, PA 16509-2603 | 2020-07-22 |
| 1699306449 | Millcreek Manor | In Home Supportive Care | 3910 Schaper Ave, Erie, PA 16508-3346 | 2020-01-30 |
| 1629125166 | Millcreek Manor | Nursing Facility/Intermediate Care Facility | 5515 Peach St, Erie, PA 16509-2603 | 2007-01-05 |
| 1780688259 | Millcreek Manor | Skilled Nursing Facility | 5515 Peach St, Erie, PA 16509-2603 | 2005-06-13 |
| Street Address |
5535 PEACH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033172762 | Jean M Storm | Internal Medicine | 5535 Peach St, Erie, PA 16509-2603 | 2006-04-12 |
| 1588272884 | Millcreek Manor | Pharmacy | 5535 Peach St, Erie, PA 16509-2603 | 2020-07-22 |
| 1871110981 | Christina Schuler | Pharmacist | 5535 Peach St, Erie, PA 16509-2603 | 2020-07-06 |
| 1750908166 | Elizabeth Ann Johnson | Pharmacist | 5535 Peach St, Erie, PA 16509-2603 | 2020-07-01 |
| 1609341700 | Thomas Michael Weindorf | Pharmacist | 5535 Peach St, Erie, PA 16509-2603 | 2018-10-04 |
| 1245752385 | Brandon Michael Sing | Pharmacist | 5535 Peach St, Erie, PA 16509-2603 | 2017-07-11 |
| 1447793625 | Jacob Charles Reaser | Pharmacist | 5535 Peach St, Erie, PA 16509-2603 | 2016-11-21 |
| 1689024598 | Seth Hintze Carter | Family Medicine | 5535 Peach St, Erie, PA 16509-2603 | 2016-06-21 |
| 1114393790 | Millcreek Manor Pharmacy | Pharmacy | 5535 Peach St, Erie, PA 16509-2603 | 2015-08-18 |
| 1174936504 | Gianpiero Martone | Psychiatry & Neurology | 5535 Peach St, Erie, PA 16509-2603 | 2014-06-03 |
| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548688849 | Drugscan, Inc. | Clinical Medical Laboratory | 2618 Sigsbee St, Erie, PA 16508-1721 | 2014-04-03 |
| 1700175429 | Regional Health Services, Inc. | Clinical Medical Laboratory | 333 State St Ste 100, Erie, PA 16507-1463 | 2011-04-04 |
| 1205099421 | Kathleen Wieczorek | Clinical Medical Laboratory | 5050 W Ridge Rd Fl 2, Erie, PA 16506-1216 | 2008-07-08 |
| 1427133685 | Associated Clinical Laboratories | Clinical Medical Laboratory | 1526 Peach St, Erie, PA 16501-2110 | 2006-10-26 |
| 1285282350 | Boulder Community Health | Clinical Medical Laboratory | 101 Erie Pkwy, Erie, CO 80516-4070 | 2019-08-30 |
| 1659817849 | Ob-gyn Associates of Erie Laboratory, LLC | Clinical Medical Laboratory | 100 Peach St, Suite 202, Erie, PA 16507-1423 | 2017-01-11 |
| 1528497245 | Pathology Associates of Erie Inc | Clinical Medical Laboratory | 1526 Peach St, Erie, PA 16501-2110 | 2013-11-04 |
| 1801177431 | Regional Health Services, Inc. | Clinical Medical Laboratory | 4125 W Ridge Rd, Erie, PA 16506-1763 | 2011-09-09 |
| 1922387067 | Regional Health Services, Inc. | Clinical Medical Laboratory | 17 Merline Ave, Erie, PA 16509-1567 | 2011-08-08 |
| 1487932810 | Regional Health Services, Inc. | Clinical Medical Laboratory | 3822 Schaper Ave, Erie, PA 16508-3360 | 2011-08-03 |
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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.