DR. JOAO O TAVARES (NPI# 1750425351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750425351 |
| Entity Type | Individual |
| Full Name | DR. JOAO O TAVARES |
| Credential | MD |
| Practice Address |
1645 West 8th Street Shriners Hospitals for Children Erie Erie PA 16505-5097 |
| Mailing Address |
Po Box 8500 Shriners Hospitals for Children Lockbox #7642 Philadelphia PA 19178-7642 |
| Practice Telephone | 8148758728 |
| Practice Fax Number | 8148758796 |
| Mailing Telephone | 8132818478 |
| Mailing Fax Number | 8132818113 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2012-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
MD-034945-L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0662516-02 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245227925 | Joao M. Tavares | Internal Medicine | 34 Park St, Hyannis, MA 02601-5204 | 2005-09-29 |
| Street Address |
1645 WEST 8TH STREET SHRINERS HOSPITALS FOR CHILDREN ERIE |
| City | ERIE |
| State | PA |
| Zip Code | 16505-5097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033170469 | Marcie L Fitzgerald | Physician Assistant | 1645 West 8th Street, Shriners Hospitals for Children Erie, Erie, PA 16505-5097 | 2006-03-28 |
| 1316504699 | Robert Archbold | Student in an Organized Health Care Education/Training Program | 1645 West 8th Street, Suite 200, Erie, PA 16505 | 2019-05-22 |
| 1447588066 | Stephanie Elaine Lajohn | Nurse Anesthetist, Certified Registered | 1645 West 8th Street, Shriners Hospitals for Children Erie, Erie, PA 16505-5097 | 2009-11-19 |
| 1063661940 | Mary Jane Smalley | Nurse Practitioner | 1645 West 8th Street, Shriners Hospitals for Children Erie, Erie, PA 16505-5097 | 2008-09-16 |
| 1841334455 | Karl F Frankovitch | Orthopaedic Surgery | 1645 West 8th Street, Shriners Hospitals for Children Erie, Erie, PA 16505-5097 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548717572 | Shriners Hospitals for Children | Orthopaedic Surgery | 1645 W 8th St, Erie, PA 16505-5007 | 2016-09-07 |
| 1982971503 | Shriners Hospitals for Children | Orthopaedic Surgery | 1645 W 8th St, Erie, PA 16505-5007 | 2011-11-28 |
| 1841334455 | Karl F Frankovitch | Orthopaedic Surgery | 1645 West 8th Street, Shriners Hospitals for Children Erie, Erie, PA 16505-5097 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730748195 | Spirit Physcian Services, Inc. | Orthopaedic Surgery | 4230 Crums Mill Rd Ste 100, Harrisburg, PA 17112-2898 | 2019-06-10 |
| 1144574682 | Nanjundappa Somasekhar Harshavardhana | Orthopaedic Surgery | 34th Street and Civic Center Boulvevard, 2nd Floor, Wood Building - Division of Orthopedics, Philadelphia, PA 19104 | 2012-11-06 |
| 1548477631 | Michael Soon Il Kwon | Orthopaedic Surgery | 3601 A St., Philadelphia, PA 19134-1095 | 2007-05-17 |
| 1528128030 | Wudbhav Nott Sankar | Orthopaedic Surgery | 3737 Market St Fl 7, Philadelphia, PA 19104-5545 | 2006-12-12 |
| 1740236900 | Wellspan Medical Group | Orthopaedic Surgery | 18 Deatrick Drive, Gettysburg, PA 17325-6958 | 2006-05-26 |
| 1285278416 | Stc Pediatrics LLC | Orthopaedic Surgery | 160 E Erie Ave, Philadelphia, PA 19134-1011 | 2019-10-31 |
| 1982248118 | Stc Pediatrics LLC | Orthopaedic Surgery | 301 Oxford Valley Rd Ste 1201, Yardley, PA 19067-7706 | 2019-10-31 |
| 1083258214 | Stc Pediatrics LLC | Orthopaedic Surgery | 500 York Rd Ste 250, Jenkintown, PA 19046-2870 | 2019-10-31 |
| 1366086720 | Stc Pediatrics LLC | Orthopaedic Surgery | 153 Brodhead Rd, Bethlehem, PA 18017-8931 | 2019-10-29 |
| 1699290775 | Ashishkumar Ranchhodbhai Patel | Orthopaedic Surgery | 145 Hospital Ave Ste 311, Du Bois, PA 15801-1465 | 2017-08-09 |
| Find all providers with the same taxonomy | ||||
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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.