SAINT VINCENT IMAGING CENTER AT YORKTOWN (NPI# 1770904765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770904765 |
| Entity Type | Organization |
| Organization Name | SAINT VINCENT IMAGING CENTER AT YORKTOWN |
| Practice Address |
2501 W 12th St Erie PA 16505-4527 |
| Practice Telephone | 8148382085 |
| Mailing Telephone | 8148382085 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |
| Authorized Official Name | MR. SCOTT A WHALEN (PRESIDENT & CEO) |
| Authorized Official Telephone | 8144525111 |
| Authorized Official Credential | PHD, FACHE |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT VINCENT HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1001625200025 | 05 | |
| PA | HIGHMARK FACILITY NUMBER | 0072 | 01 |
| Street Address |
2501 W 12TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16505-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861949 | Paul Eugene Shields | Family Medicine | 2501 W 12th St, Suite 1, Erie, PA 16505-4527 | 2005-06-14 |
| 1457847998 | Tatum Marucci | Nurse Practitioner | 2501 W 12th St, Erie, PA 16505-4527 | 2018-07-09 |
| 1295102390 | Saint Vincent Medical Education and Research Institute Inc. | Obstetrics & Gynecology | 2501 W 12th St, Suite 10, Erie, PA 16505-4527 | 2015-08-25 |
| 1427437896 | Jennifer Potthoff | Dietitian, Registered | 2501 W 12th St, Erie, PA 16505-4527 | 2015-05-19 |
| 1538594197 | Allegheny Clinic | Obstetrics & Gynecology | 2501 W 12th St, Suite 10, Erie, PA 16505-4527 | 2013-09-13 |
| 1427398031 | Physician Landing Zone,p.c | Obstetrics & Gynecology | 2501 W 12th St, Ste 10, Erie, PA 16505-4527 | 2013-02-19 |
| 1043503253 | Geoffrey D Betz | Family Medicine | 2501 W 12th St, Erie, PA 16505-4527 | 2011-05-20 |
| 1598057424 | Kelli K Desanctis | Family Medicine | 2501 W 12th St, Erie, PA 16505-4527 | 2011-05-11 |
| 1366741795 | St Vincent Medical Education and Research Institute Inc | Family Medicine | 2501 W 12th St, Erie, PA 16505-4527 | 2011-03-24 |
| 1306075148 | Feras Alkhudari | Pediatrics | 2501 W 12th St, Erie, PA 16505-4527 | 2009-07-14 |
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| 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 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263973 | Millcreek Community Hospital | General Acute Care Hospital | 5515 Peach St, Erie, PA 16509-2603 | 2005-05-31 |
| 1104247196 | Saint Vincent Women's Center | General Acute Care Hospital | 311 W 24th St, Erie, PA 16502-2665 | 2013-12-18 |
| 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 |
| 1922253152 | Hamot Medical Center | General Acute Care Hospital | 201 State St, Erie, PA 16550-0002 | 2008-12-02 |
| 1922201268 | Millcreek Community Hospital | General Acute Care Hospital | 2625 Parade St, Erie, PA 16504-2809 | 2007-06-06 |
| 1013110386 | Millcreek Community Hospital | General Acute Care Hospital | 537 W 18th St, Erie, PA 16502-1722 | 2007-06-06 |
| 1164640645 | Millcreek Community Hospital | General Acute Care Hospital | 5515 Peach St, Erie, PA 16509-2603 | 2007-04-23 |
| 1720153968 | Millcreek Community Hospital | General Acute Care Hospital | 5515 Peach St, Erie, PA 16509-2603 | 2006-11-22 |
| 1609970284 | Millcreek Community Hospital | General Acute Care Hospital | 5515 Peach St, Erie, PA 16509-2603 | 2006-09-12 |
| 1508881731 | Millcreek Community Hospital | General Acute Care Hospital | 5515 Peach St, Erie, PA 16509-2603 | 2006-07-12 |
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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.