DR. BRYAN DOUGLAS MOLES (NPI# 1639312846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639312846 |
| Entity Type | Individual |
| Full Name | DR. BRYAN DOUGLAS MOLES |
| Credential | D.O. |
| Practice Address |
232 W 25th St Erie PA 16544-0002 |
| Practice Telephone | 4129771377 |
| Mailing Telephone | 4129771377 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2010-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
OS014608 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285187591 | Bryan Moles | Developmental Therapist | 6157 N Kenmore, Apt #4s, Chicago, IL 60660 | 2016-08-03 |
| Street Address |
232 W 25TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16544-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112545 | Clinical Associates In Radiology Inc | Radiology | 232 W 25th St, Erie, PA 16544-0002 | 2005-05-31 |
| 1376144105 | William Kupke | Physician Assistant | 232 W 25th St, Erie, PA 16544-0002 | 2020-11-06 |
| 1083215198 | Amber Colecchia | Nurse Practitioner | 232 W 25th St, Erie, PA 16544-0002 | 2020-11-04 |
| 1003430760 | Michelle K Xu | Family Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2020-05-28 |
| 1831711548 | Kristen Michelle Bublitz | Emergency Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2020-05-15 |
| 1811519697 | Susannah Boulet | Emergency Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2020-05-14 |
| 1801417332 | Sarah Catherine Bilski | Emergency Medicine | 232 W 25th St, Erie, PA 16544-0002 | 2020-05-06 |
| 1811522881 | Jennifer Lynn Gervase | Registered Nurse | 232 W 25th St, Erie, PA 16544-0002 | 2020-03-10 |
| 1679118269 | Alexandra Marie Hartman | Physician Assistant | 232 W 25th St, Erie, PA 16544-0002 | 2019-11-07 |
| 1710522388 | Matthew James Martin | Physician Assistant | 232 W 25th St, Erie, PA 16544-0002 | 2019-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568087542 | Jason Latsky | Student in an Organized Health Care Education/Training Program | 232 W 25th Street, Erie, PA 16544 | 2020-06-15 |
| 1659747483 | Chad Val Stratford | Emergency Medicine | 252 W 25th St, Erie, PA 16544 | 2015-08-17 |
| 1013563147 | Joshua M Botimer | Pharmacist | 232 W 54th St, Erie, PA 16544-0001 | 2019-08-14 |
| 1497314116 | Xinyi Ge | Family Medicine | Saint Vincent Hospital, Erie, PA 16544-0001 | 2019-06-06 |
| 1346610805 | Saint Vincent Medical Education and Research Institute Inc. | Internal Medicine | 145 West 24th Street, 302a, Erie, PA 16544-0002 | 2015-09-28 |
| 1821419813 | Saint Vincent Diabetes Resource Outpatient Nutrition Center | General Acute Care Hospital | 145 W 23rd St, Suite 302, Erie, PA 16544-0002 | 2013-12-18 |
| 1841534336 | Kelly O'connor | Physician Assistant | 232 W 25th St # 3r, Erie, PA 16544-0002 | 2012-11-21 |
| 1447279955 | Lihui Tang | Psychiatry & Neurology | 232 W 25th St # 3r, Erie, PA 16544-1601 | 2006-07-18 |
| 1053880575 | Pallavi Yonghang Limbu | Nurse Practitioner | 232 W 25th St # 3r, Erie, PA 16544-2420 | 2018-11-14 |
| 1427013986 | Khoa D Tran | Psychiatry & Neurology | 232 W 25th St # 3r, Erie, PA 16544-6929 | 2006-04-19 |
| Find all providers in zip 16544 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407906613 | Mark William Van Dyke | Emergency Medicine | 306 W 11th St 2nd Fl, Erie, PA 16501-1705 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920645 | Ems Medical Care, LLC | Emergency Medicine | 347 N Pottstown Pike Ste 102, Exton, PA 19341-2222 | 2020-07-29 |
| 1275097156 | Sean Thomas Cook | Emergency Medicine | 421 College Park Dr, Monroeville, PA 15146-1535 | 2019-01-25 |
| 1821593849 | Nicole Ann Lollo | Emergency Medicine | 365 Spring Ave, Mars, PA 16046 | 2018-03-30 |
| 1326451758 | Earl David Morgan | Emergency Medicine | 5439 Rt 153, Brockport, PA 15823 | 2014-06-03 |
| 1073802112 | Elizabeth Guttman Sevin | Emergency Medicine | 400 Hidden River Rd, Penn Valley, PA 19072-1113 | 2011-03-29 |
| 1740414820 | Jason Becker | Emergency Medicine | 5501 Old York Road, Korman Basement, Tabor Emergency Physicians, Phila, PA 19141 | 2009-05-05 |
| 1477711190 | Brian J Clohessy | Emergency Medicine | Red Lion and Knights Road, Frankford Hospital, Philadelphia, PA 19114 | 2008-05-29 |
| 1720272818 | Maggie Beams | Emergency Medicine | 1218 Walnut St Apt 1003, Philadelphia, PA 19107-5446 | 2007-08-31 |
| 1336280296 | Thomas Baumgarten | Emergency Medicine | Cove Forge Road, Route 1, Williamsburg, PA 16693 | 2007-02-12 |
| 1790866473 | Clayton Conrad Lindemuth Sr. | Emergency Medicine | 12730 Forrest Dr, Edinboro, PA 16412-1282 | 2006-10-18 |
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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.