MEDICAL ASSOCIATES OF ERIE (NPI# 1700020021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700020021 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATES OF ERIE |
| Practice Address |
5401 Peach Street - 3rd Floor Lecom Health & Wellness Center Specialty Suites Erie PA 16509-2601 |
| Mailing Address |
1 Lecom Pl Erie PA 16505-2571 |
| Practice Telephone | 8148687860 |
| Practice Fax Number | 8148682109 |
| Mailing Telephone | 8145289732 |
| Mailing Fax Number | 8145289722 |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |
| Authorized Official Name | AMY SZAFRANSKI (BILLING/CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8145289732 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
OS013607 | PA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | OS004805L | PA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MD032703E | PA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | OS08877L | PA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | OS013438L | PA | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
OS010713L | PA | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
OS013465 | PA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | OS014134 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1010664580001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795931 | Medical Associates of Erie | Internal Medicine | 5401 Peach St Ste 3100, Erie, PA 16509-2601 | 2020-09-22 |
| 1790318988 | Medical Associates of Erie | Psychiatry & Neurology | 4740 Peach St, Erie, PA 16509-2008 | 2020-02-17 |
| 1235405085 | Medical Associates of Erie | Obstetrics & Gynecology | 75 W Columbus Ave, Corry, PA 16407-1135 | 2012-03-27 |
| 1417247123 | Medical Associates of Erie | Family Medicine | 3435 W Lake Rd, Erie, PA 16505-3661 | 2011-04-14 |
| 1871761155 | Medical Associates of Erie | Family Medicine | 206 West Plum Street, Edinboro, PA 16412-2121 | 2008-02-20 |
| 1215055769 | Medical Associates of Erie | Family Medicine | 4234 Buffalo Rd, Erie, PA 16510-2112 | 2007-03-26 |
| 1366560815 | Medical Associates of Erie | Family Medicine | 7686 West Ridge Rd, Fairview, PA 16415 | 2007-03-26 |
| 1649205816 | Medical Associates of Erie | Internal Medicine | 1 Lecom Pl, Erie, PA 16505-2571 | 2006-07-12 |
| 1881228229 | Medical Associates of Erie | Family Medicine | 404 E 8th St, Erie, PA 16503-1204 | 2020-02-25 |
| 1780217646 | Medical Associates of Erie | Orthopaedic Surgery | 5401 Peach St Ste 3500, Erie, PA 16509-2601 | 2020-02-19 |
| Street Address |
5401 PEACH STREET - 3RD FLOOR LECOM HEALTH & WELLNESS CENTER SPECIALTY SUITES |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2601 |
| 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 |
| Find all providers in zip 16509 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1124323076 | Portercare Adventist Health System | Internal Medicine | 611 Mitchell Way Ste 103, Erie, CO 80516-5443 | 2011-01-24 |
| 1629235361 | Regional Health Services, Inc. | Internal Medicine | 406 Peach Street, Erie, PA 16507-1417 | 2008-05-20 |
| 1851490577 | Jose Luis Boggio | Internal Medicine | 903 Long Point Dr, Erie, PA 16505-5417 | 2006-09-21 |
| 1649372319 | Rajesh Govindasamy | Internal Medicine | 300 State St Ste 207, Erie, PA 16507-1429 | 2006-09-02 |
| 1134232564 | Norman E Bussell | Internal Medicine | 104 East Second Street, 5th Floor Consultants In Infectious Diseases, Erie, PA 16507 | 2006-08-17 |
| 1235152406 | Bharathi S Voora I | Internal Medicine | 2005 W 8th St, Suite 200, Erie, PA 16505-4759 | 2006-07-26 |
| 1649205816 | Medical Associates of Erie | Internal Medicine | 1 Lecom Pl, Erie, PA 16505-2571 | 2006-07-12 |
| 1427081595 | Glenwood Internal Medicine, LLP | Internal Medicine | 213 East 41st St., Erie, PA 16504 | 2006-07-09 |
| 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.