LECOM MTM SERVICES (NPI# 1760736870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760736870 |
| Entity Type | Organization |
| Organization Name | LECOM MTM SERVICES |
| Other Organization Name | LECOM SCHOOL OF PHARMACY |
| Practice Address |
1858 W Grandview Blvd Attn.rebecca Wise-bayfront Campus Erie PA 16509-1025 |
| Practice Telephone | 8148682584 |
| Practice Fax Number | 8148682589 |
| Mailing Telephone | 8148682584 |
| Mailing Fax Number | 8148682589 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |
| Authorized Official Name | DR. JUSTIN SCHOLL (MANAGER) |
| Authorized Official Telephone | 8148608430 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1100X |
Clinic/Center Specialization: Research |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LECOM School of Pharmacy | Other Name - Individual/Organization |
| Street Address |
1858 W GRANDVIEW BLVD ATTN.REBECCA WISE-BAYFRONT CAMPUS |
| City | ERIE |
| State | PA |
| Zip Code | 16509-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386679470 | Hannah R Howell | Pharmacist | 1858 W Grandview Blvd, Erie, PA 16509-1025 | 2006-07-11 |
| 1578198115 | Trisha Sofia Galicia Emborgo | Student in an Organized Health Care Education/Training Program | 1858 W Grandview Blvd, Erie, PA 16509-1025 | 2020-03-04 |
| 1821550153 | Hershey Sheldon Bell | Family Medicine | 1858 W Grandview Blvd, Erie, PA 16509-1025 | 2019-04-04 |
| 1972971232 | Kristen Marie Gawronski | Pharmacist | 1858 W Grandview Blvd, Erie, PA 16509-1025 | 2015-09-03 |
| 1992185748 | Scarlett Tucker | Student in an Organized Health Care Education/Training Program | 1858 W Grandview Blvd, Erie, PA 16509-1025 | 2015-06-08 |
| 1275825986 | Bojana Stevich-heemer | Pharmacist | 1858 W Grandview Blvd, Erie, PA 16509-1025 | 2011-05-12 |
| 1598084915 | Randall B Heemer | Pharmacist | 1858 W Grandview Blvd, Erie, PA 16509-1025 | 2010-05-25 |
| 1770606162 | Rebecca Miller Wise | Pharmacist | 1858 W Grandview Blvd, Bayfront Campus - Lecom Mtm Services, Erie, PA 16509-1025 | 2007-04-09 |
| 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 | 261QR1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Research |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497139166 | Clinical Research Associates of Central Pa, LLC | Clinic/Center | 1616 E Pleasant Valley Blvd, Altoona, PA 16602-7308 | 2015-07-13 |
| 1447726807 | Tri-state Clinical Research Trials, LLC | Clinic/Center | 1303 Veterans Hwy, Bristol, PA 19007-2514 | 2018-10-23 |
| 1295156958 | University of Pittsburgh Medical Center | Clinic/Center | 5115 Centre Avenue, Ag70.15 Prevention and Early Detection Suite, Pittsburgh, PA 15232-1940 | 2013-12-26 |
| 1457636037 | Lll-usa Integrated Health Care Association | Clinic/Center | 2010 W Chester Pike, Suite 407, Havertown, PA 19083-2700 | 2011-10-14 |
Please comment or provide details below to improve the information on LECOM MTM SERVICES.
| 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.