DR. BRANDON ROBERT MADURA (NPI# 1619592581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619592581 |
Entity Type | Individual |
Full Name | DR. BRANDON ROBERT MADURA |
Credential | DO |
Practice Address |
5515 Peach St Erie PA 16509-2603 |
Mailing Address |
3104 Court Ave Erie PA 16506-3432 |
Practice Telephone | 8148644301 |
Mailing Telephone | 8144647673 |
Enumeration Date | 2020-06-16 |
Last Update Date | 2020-06-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OT020228 | PA | Allopathic & Osteopathic Physicians |
Street Address |
5515 PEACH ST |
City | ERIE |
State | PA |
Zip Code | 16509-2603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548263973 | Millcreek Community Hospital | General Acute Care Hospital | 5515 Peach St, Erie, PA 16509-2603 | 2005-05-31 |
1942814546 | Zeinab Altaher | Pharmacist | 5515 Peach St, Erie, PA 16509-2603 | 2020-09-02 |
1669086161 | Mikayla Erin Matheny | Pharmacist | 5515 Peach St, Erie, PA 16509-2695 | 2020-09-02 |
1467065615 | Ashley Diane Crandall | Pharmacist | 5515 Peach St, Erie, PA 16509-2603 | 2020-08-27 |
1538787221 | Lex Herwen Barte I | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-07-08 |
1831717826 | Usman Ahmed | Internal Medicine | 5515 Peach St, Erie, PA 16509-2603 | 2020-07-07 |
1871110700 | Peter Vincent Finelli | Family Medicine | 5515 Peach St, Erie, PA 16509-2695 | 2020-06-26 |
1376160366 | Leng Xiong | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
1811514805 | Michael Driscoll | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
1750908745 | Morgan Michele Gallo | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
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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 |
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Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790318988 | Medical Associates of Erie | Psychiatry & Neurology | 4740 Peach St, Erie, PA 16509-2008 | 2020-02-17 |
1629398672 | Healing Hearts Psychiatry LLC | Psychiatry & Neurology | 3255 West 26th Street, Erie, PA 16506-2507 | 2010-06-01 |
1548455363 | Matthew Dejohn | Psychiatry & Neurology | 1611 Peach St Ste 105, Erie, PA 16501-2120 | 2007-09-14 |
1700958428 | Mathew W Sipple | Psychiatry & Neurology | 3250 W. Lake Rd, Suite 2, Erie, PA 16505-3691 | 2006-11-15 |
1679502744 | Angela Palys Lindemuth | Psychiatry & Neurology | 135 East 38th St, Dept of Veteran Affairs Medical Center, Erie, PA 16504 | 2006-07-01 |
1427013986 | Khoa D Tran | Psychiatry & Neurology | 232 W 25th St # 3r, Erie, PA 16544-6929 | 2006-04-19 |
1609847755 | Charles Joy | Psychiatry & Neurology | 101 E 6th St, Erie, PA 16501-1201 | 2006-01-27 |
1346211414 | Sean C Su | Psychiatry & Neurology | 2910 State St, Erie, PA 16508-1832 | 2006-01-27 |
1285619007 | Richard Harris Spector | Psychiatry & Neurology | 4619 Peach St, Erie, PA 16509-2006 | 2005-12-14 |
1588225791 | Clarice Mae Dixson | Psychiatry & Neurology | 5515 Peach St, Erie, PA 16509-2603 | 2019-06-27 |
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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.