DANIEL J MUCCIO (NPI# 1477531630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477531630 |
| Entity Type | Individual |
| Full Name | DANIEL J MUCCIO |
| Credential | MD |
| Practice Address |
2315 Myrtle St Ste L90 Erie PA 16502-4607 |
| Practice Telephone | 8144527575 |
| Practice Fax Number | 8144527574 |
| Mailing Telephone | 8144527575 |
| Mailing Fax Number | 8144527574 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2020-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD037094E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001243827 | 05 | |
| CAQH | 10932893 | 01 |
| Street Address |
2315 MYRTLE ST STE L90 |
| City | ERIE |
| State | PA |
| Zip Code | 16502-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286699 | Phillip V Mcallister | Neurological Surgery | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2005-06-24 |
| 1902446248 | Timothy Martin Carroll | Nurse Practitioner | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2020-01-15 |
| 1417519356 | Kristin Nicole Latessa | Physician Assistant | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2019-07-01 |
| 1861944050 | Kaitlyn M Leone | Nurse Practitioner | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2016-11-04 |
| 1275937898 | Kaitlyn Ferguson | Physician Assistant | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2014-10-09 |
| 1912326521 | Harshit Shah | Psychiatry & Neurology | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2014-04-10 |
| 1700940277 | Hasan Askari | Psychiatry & Neurology | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2006-12-20 |
| 1154343218 | Arturo Camacho | Neurological Surgery | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2006-07-24 |
| 1043205214 | Leonard J. Leone | Psychiatry & Neurology | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
| Find all providers in zip 16502 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093019424 | Francis Kirkwood Mainzer | Neurological Surgery | 1149 Spring Valley Dr, Erie, PA 16509-2950 | 2010-12-28 |
| 1215172119 | Richard Norton Hall | Neurological Surgery | 6353 Meadowrue Ln, Erie, PA 16505-1026 | 2008-12-05 |
| 1740268812 | William Paul Diefenbach | Neurological Surgery | 2374 Village Common Dr, Ste 100, Erie, PA 16506-7201 | 2006-01-09 |
| 1740286699 | Phillip V Mcallister | Neurological Surgery | 2315 Myrtle St Ste L90, Erie, PA 16502-4607 | 2005-06-24 |
| 1861498008 | Daniel Vincent Loesch | Neurological Surgery | 120 E 2nd St Ste 401, Erie, PA 16507-1577 | 2005-06-22 |
| 1912414707 | Salem A El-zuway | Neurological Surgery | 300 State St Fl 4, Erie, PA 16507-1427 | 2018-01-03 |
| 1477938413 | Gregory N Bowden | Neurological Surgery | 300 State St Ste 401, Erie, PA 16507-1438 | 2015-07-20 |
| 1528497948 | Derrick Andrew Dupre | Neurological Surgery | 1910 Sassafras St Ste 300, Erie, PA 16502 | 2013-11-06 |
| 1942363445 | Raymond F Sekula Jr. | Neurological Surgery | 201 State St, 8th Floor, Erie, PA 16550-0002 | 2006-12-18 |
| 1598850414 | Saint Vincent Medical Education and Research Institute | Neurological Surgery | 1910 Sassafras St, Suite 300, Erie, PA 16502-2716 | 2006-10-04 |
| 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.