ORTHOPAEDIC & SPORTS MEDICINE OF ERIE PC (NPI# 1457522369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457522369 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC & SPORTS MEDICINE OF ERIE PC |
| Practice Address |
300 York St Corry PA 16407-1420 |
| Mailing Address |
300 State St #400a Erie PA 16507-1427 |
| Practice Telephone | 8146649866 |
| Practice Fax Number | 8144548470 |
| Mailing Telephone | 8144548287 |
| Mailing Fax Number | 8144548470 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |
| Authorized Official Name | CHARLENE A KELLERMAN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8144548287 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012321160003 | 05 |
| Street Address |
300 YORK ST |
| City | CORRY |
| State | PA |
| Zip Code | 16407-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992788012 | Susan M Kaufman Do | Family Medicine | 300 York St, Suite B, Corry, PA 16407-1420 | 2005-11-22 |
| 1811226467 | Corry Memorial Hosital | General Acute Care Hospital | 300 York St, Suite A, Corry, PA 16407-1420 | 2009-12-10 |
| 1538315395 | Sarah Elizabeth Breon | Family Medicine | 300 York St, Corry, PA 16407-1420 | 2008-08-13 |
| 1780857011 | Corry Memorial Hospital Association | Nurse Practitioner | 300 York St, Corry, PA 16407-1420 | 2008-04-08 |
| 1144359787 | Aruna Korlepara | Family Medicine | 300 York St, Corry, PA 16407-1420 | 2007-03-02 |
| 1538244900 | Corry Medical Services, Inc. | Family Medicine | 300 York St, Corry, PA 16407-1420 | 2006-10-26 |
| 1861447070 | Nancy Rose Flynn-mcgarvie | Emergency Medicine | 300 York St, Corry, PA 16407-1420 | 2006-05-24 |
| 1174586119 | Tina Hawley | Nurse Practitioner | 300 York St, Corry, PA 16407-1420 | 2006-04-10 |
| 1093777161 | Dva Healthcare Renal Care Inc | Clinic/Center | 300 York St, Corry, PA 16407-1420 | 2006-04-04 |
| 1942288238 | Cheryl A Mongera | Nurse Practitioner | 300 York St, Suite B, Corry, PA 16407-1420 | 2006-01-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942524855 | John F Hines | Pharmacist | 827 N Center St, Corry, PA 16407 | 2010-03-22 |
| 1437211307 | Gary Michael Ritten | Obstetrics & Gynecology | 328 York Street, Corry, PA 16407 | 2006-12-15 |
| 1356424881 | Wal-mart Storses East, Lp | Technician/Technologist | 961 Route 6, Corry, PA 16407 | 2006-10-20 |
| 1427144641 | Alan John Vanderweele | Dentist | 335 Worth Street, Corry, PA 16407 | 2006-10-05 |
| 1063421287 | Charles H Durmis | Surgery | 328 York St, Corry, PA 16407 | 2006-08-05 |
| 1841268877 | Corry Memorial Hospital Association | General Acute Care Hospital | 965 Shamrock Lane, Corry, PA 16407 | 2006-03-08 |
| 1164036190 | Thomas William Sloss | Pharmacist | 827 North Center Street, Corry, PA 16407 | 2020-09-08 |
| 1003330804 | Alison Waltier | Pharmacist | 827 N Center St, Corry, PA 16407 | 2017-08-02 |
| 1821456013 | Robin Boboshko-kline | Occupational Therapy Assistant | 640 Worth Street, Corry, PA 16407 | 2016-02-03 |
| 1205159084 | Amy Winchell | Pharmacist | 330 W Columbus Ave, Corry, PA 16407 | 2010-03-08 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215003199 | Corry Medical Services, Inc. | Orthopaedic Surgery | 108 West Smith Street, Corry, PA 16407-1152 | 2006-11-24 |
| 1952301814 | Edward E Griffin Jr. | Orthopaedic Surgery | 965 Shamrock Ln, Corry, PA 16407-9121 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708492 | Sunnyvale Orthopaedic and Rehabilitation Clinic | Orthopaedic Surgery | 1419 N 75th St, Philadelphia, PA 19151-2901 | 2020-10-25 |
| 1932722881 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 S 7th Ave Ste 3120, West Reading, PA 19611-1495 | 2020-05-27 |
| 1770103723 | Steel City Spine and Orthopedic Center LLC | Orthopaedic Surgery | 27 Heckel Rd Ste 203, Mc Kees Rocks, PA 15136-1673 | 2020-04-20 |
| 1053951251 | Lvhn Scranton Orthopedic Specialists | Orthopaedic Surgery | 334 Main St Ste 1, Dickson City, PA 18519-1668 | 2020-01-15 |
| 1689214488 | Geisinger Clinic | Orthopaedic Surgery | 112 N 15th St, Lewisburg, PA 17837-1224 | 2020-01-09 |
| 1770120537 | Marcel Orthopedics LLC | Orthopaedic Surgery | 3717 Chestnut St Apt 202.m, Philadelphia, PA 19104-3164 | 2019-11-28 |
| 1568023737 | Nathan William White | Orthopaedic Surgery | 801 Ostrum Street Priscilla Payne Hurd Bldg, Bethlehem, PA 18015 | 2019-06-27 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1205393006 | Theodore Roosevelt Moran | Orthopaedic Surgery | 30 Salem Rd, Greenville, PA 16125-8409 | 2019-02-27 |
| 1689160731 | Integrated Medical Group, P.C. | Orthopaedic Surgery | 700 Schuylkill Manor Rd Ste 1, Pottsville, PA 17901-3849 | 2018-07-02 |
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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.