PEDIATRIC CARE CENTER OF ERIE, PC (NPI# 1487153144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487153144 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC CARE CENTER OF ERIE, PC |
| Other Organization Name | PEDIATRIC CARE CENTER OF ERIE |
| Practice Address |
1611 Peach St Ste 300 Erie PA 16501-2122 |
| Practice Telephone | 8144542891 |
| Mailing Telephone | 8144542891 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | DR. RAVI CHEKKA (PRESIDENT) |
| Authorized Official Telephone | 8144542891 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD419696 | PA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD038253L | PA | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | MD440507 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1811976020 | 05 | |
| PA | 1467626283 | 05 | |
| PA | 1770550063 | 05 | |
| PA | PA STATE LICENSE | MD440507 | 01 |
| Other Name | Type Code |
|---|---|
| Pediatric Care Center of Erie | Other Name - Individual/Organization |
| Street Address |
1611 PEACH ST STE 300 |
| City | ERIE |
| State | PA |
| Zip Code | 16501-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467626283 | Ravi Kumar Chekka | Pediatrics | 1611 Peach St Ste 300, Erie, PA 16501-2122 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496872 | Maureen Grady | Physician Assistant | 240 West 11th Street, Suite 2, Erie, PA 16501 | 2019-09-17 |
| 1093291023 | Passavant Development Corporation | Pharmacy | 1611 Peach St Ste 400, Erie, PA 16501 | 2018-07-12 |
| 1073043675 | Stephanie Owens | Specialist/Technologist | 211 West 8th Street, Erie, PA 16501 | 2017-06-15 |
| 1114335130 | Julia Campbell | Occupational Therapist | 207 W. 11th. St., Suite 402, Erie, PA 16501 | 2014-07-23 |
| 1669766481 | Seth David Fox | Ophthalmology | 128 West 12 St, Ste 200, Erie, PA 16501 | 2011-06-09 |
| 1336438910 | Maryna Petrasheuskaya | Dentist | 1611 State Street, 465, Erie, PA 16501 | 2011-04-04 |
| 1891092565 | Amber Leann Allshouse | Counselor | 1602 State St Ste 390, Erie, PA 16501 | 2011-02-16 |
| 1225331986 | Jennifer Marie Kuzmin | Counselor | 1001 State St Ste 1409, Erie, PA 16501 | 2010-12-17 |
| 1093026510 | Community Health Net | Pharmacy | Daniel S. Snow M.d. Health Center, 1202 State Street, Erie, PA 16501 | 2010-06-30 |
| 1467634113 | Chester Francis Battersby Sr. | Chiropractor | 265 West 10th St, Erie, PA 16501 | 2007-12-04 |
| Find all providers in zip 16501 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235479882 | Jack Gold | Pediatrics | 4425 Upland Dr, Erie, PA 16509-1654 | 2013-02-19 |
| 1467626283 | Ravi Kumar Chekka | Pediatrics | 1611 Peach St Ste 300, Erie, PA 16501-2122 | 2008-04-14 |
| 1811968498 | Stephanie F Russo | Pediatrics | 3910 Caughey Rd, Suite 170, Erie, PA 16506-4096 | 2006-01-31 |
| 1215917166 | Sant Ram | Pediatrics | 2123 W 8th St, Erie, PA 16505-4743 | 2006-01-18 |
| 1124029301 | Lynne M Birkmeyer | Pediatrics | 4022 Zuck Road, Your Pediatric Connection West, Erie, PA 16506-4592 | 2005-08-10 |
| 1780684589 | Andrea Javier Fadrigo | Pediatrics | 4022 Zuck Rd, Erie, PA 16506-4592 | 2005-07-22 |
| 1376549998 | Samuel Allen Fagenholz | Pediatrics | 300 State St Ste 301, Erie, PA 16507-1430 | 2005-06-28 |
| 1093718124 | Joseph C Barber | Pediatrics | 3580 Peach St, Erie, PA 16508-2776 | 2005-05-23 |
| 1861857534 | Children's Community Care | Pediatrics | 3910 Caughey Rd, Suite 170, Erie, PA 16506-4096 | 2015-12-23 |
| 1700276896 | Sviatlana Sirash | Pediatrics | 201 State St, Erie, PA 16550-0002 | 2015-01-28 |
| 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.