DR. SAMUEL R WARD JR. (NPI# 1508844267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508844267 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL R WARD JR. |
| Credential | MD |
| Practice Address |
2315 Myrtle Street Suite 190 Erie PA 16502-4604 |
| Practice Telephone | 8144537767 |
| Practice Fax Number | 8144546667 |
| Mailing Telephone | 8144537767 |
| Mailing Fax Number | 8144546667 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2016-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD062560L | PA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD062560L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RR MEDICARE | 060046820 | 01 |
| PA | 0016585900005 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063975225 | Samuel Enoch Ward | Student in an Organized Health Care Education/Training Program | 18701 N 67th Ave, Glendale, AZ 85308-7100 | 2019-04-12 |
| 1881129021 | Samuel Ward | Family Medicine | 4389 Beaufort Rd, Havelock, NC 28532 | 2017-04-25 |
| 1982661757 | Samuel Edward Ward | Family Medicine | 1410 Brickyard Rd, Chipley, FL 32428 | 2006-04-27 |
| Street Address |
2315 MYRTLE STREET SUITE 190 |
| City | ERIE |
| State | PA |
| Zip Code | 16502-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285612010 | Jeffrey A Buetikofer | Internal Medicine | 2315 Myrtle Street, Suite 190, Erie, PA 16502-4604 | 2006-01-03 |
| 1902864028 | Daniel Paul Stroup | Physician Assistant | 2315 Myrtle Street, Suite 190, Erie, PA 16502-4604 | 2006-05-01 |
| 1932172590 | Melanie R Bentz | Physician Assistant | 2315 Myrtle Street, Suite 190, Erie, PA 16502-4604 | 2006-02-13 |
| 1376521062 | Andrew L Mecca | Internal Medicine | 2315 Myrtle Street, Suite 190, Erie, PA 16502-4604 | 2006-01-04 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285899294 | Jeffery Irving Blake | Internal Medicine | 2216 S Shore Dr, Erie, PA 16505-2144 | 2008-07-20 |
| 1487851192 | Internal Medicine Associates of Northwestern Pa PC | Internal Medicine | 2931 Peach Str, Erie, PA 16508-1842 | 2007-06-27 |
| 1821036195 | Kevin Joseph Mikielski | Internal Medicine | 4002 Schaper Avenue, Suite A, Erie, PA 16508 | 2006-06-02 |
| 1730167487 | William L Mecca | Internal Medicine | 2315 Myrtle St Ste 190, Erie, PA 16502-4604 | 2006-01-04 |
| 1558349365 | David T. Borowski | Internal Medicine | 2315 Myrtle St., Suite 190, Erie, PA 16502-4604 | 2006-01-03 |
| 1285612010 | Jeffrey A Buetikofer | Internal Medicine | 2315 Myrtle Street, Suite 190, Erie, PA 16502-4604 | 2006-01-03 |
| 1518961564 | Paul Demjanenko | Internal Medicine | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2005-06-08 |
| 1518226158 | Jasmin Maria Martinez Castellanos | Internal Medicine | 2315 Myrtle St Ste 190, Erie, PA 16502-4604 | 2012-05-15 |
| 1013273739 | Mohamad Khaled Sabeh | Internal Medicine | 2315 Myrtle St Ste 190, Erie, PA 16502-4604 | 2012-04-06 |
| 1154641348 | Randy R Jeffrey | Internal Medicine | 120 E 2nd St Fl 2, Erie, PA 16507 | 2010-06-10 |
| 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.