JEFFREY P MCGOVERN (NPI# 1780651554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780651554 |
| Entity Type | Individual |
| Full Name | JEFFREY P MCGOVERN |
| Credential | M.D. |
| Practice Address |
204 W 26th St Erie PA 16508-1806 |
| Practice Telephone | 8148644755 |
| Practice Fax Number | 8148645430 |
| Mailing Telephone | 8148644755 |
| Mailing Fax Number | 8148645430 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD047962L | PA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD047962L | PA | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
MD047962L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0018935270001 | 05 |
| Street Address |
204 W 26TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16508-1806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042657 | Emily Allen | Physician Assistant | 204 W 26th St, Erie, PA 16508-1806 | 2020-10-27 |
| 1922615046 | Briana Leigh Antalek | Nurse Practitioner | 204 W 26th St, Erie, PA 16508-1806 | 2020-09-24 |
| 1518438662 | Kim Marie Raines | Nurse Practitioner | 204 W 26th St, Erie, PA 16508-1806 | 2018-12-16 |
| 1154860294 | Destiny Mayo-juratovic | Nurse Practitioner | 204 W 26th St, Erie, PA 16508-1806 | 2017-02-22 |
| 1730559253 | Breanna Burdick | Physician Assistant | 204 W 26th St, Orthopedic Surgeons Inc., Erie, PA 16508-1806 | 2015-09-26 |
| 1417340100 | St Vincent Medical Education and Research Institute Inc. | Orthopaedic Surgery | 204 W 26th St, Erie, PA 16508-1806 | 2015-03-05 |
| 1508272162 | Anisha Pratap Kamath | Internal Medicine | 204 W 26th St, Erie, PA 16508-1806 | 2014-07-03 |
| 1407274418 | Samina Afreen | Internal Medicine | 204 W 26th St, Erie, PA 16508-1806 | 2014-04-07 |
| 1972932960 | Siobhan Kobal | Nurse Practitioner | 204 W 26th St, Erie, PA 16508-1806 | 2013-11-11 |
| 1477994713 | Animesh Chidanandrao Gour | Internal Medicine | 204 W 26th St, Erie, PA 16508-1806 | 2013-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417486705 | Robert Vance Danielson IIi | Specialist/Technologist | 3527 Maple St., Erie, PA 16508 | 2017-06-08 |
| 1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
| 1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
| 1417371311 | Psychological Health Services | Counselor | 956 West 38th Street, Erie, PA 16508 | 2014-02-12 |
| 1518210699 | Deerfield Behavioral Health, Inc. | Counselor | 2808 State Street, Erie, PA 16508 | 2012-10-26 |
| 1851675243 | Nutrition and Healing Center, Inc. | Chiropractor | 1455 West 38th Street, Suite 2, Erie, PA 16508 | 2011-10-04 |
| 1659659415 | Patricia Luisa Palotas | Counselor | 2170 West 32nd, Affinity Family Services, Inc, Erie, PA 16508 | 2011-07-28 |
| 1841581808 | Melissa M Wilson | Dietitian, Registered | 23 West 41st Street, Erie, PA 16508 | 2011-04-26 |
| 1649599374 | Amber A Kridler | Chiropractor | 1334 W. 26th St, Erie, PA 16508 | 2010-05-20 |
| 1023256427 | Christine Williamson | Occupational Therapist | 10 Summit Street, Erie, PA 16508 | 2009-01-23 |
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| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1346610805 | Saint Vincent Medical Education and Research Institute Inc. | Internal Medicine | 145 West 24th Street, 302a, Erie, PA 16544-0002 | 2015-09-28 |
| 1558508549 | John Thomas Schaaf | Internal Medicine | 2506 S Shore Dr, Erie, PA 16505-2150 | 2009-01-13 |
| 1982797031 | Gary F Esper | Internal Medicine | 4002 Schaper Ave, Suite B, Erie, PA 16508-3348 | 2006-10-02 |
| 1508272162 | Anisha Pratap Kamath | Internal Medicine | 204 W 26th St, Erie, PA 16508-1806 | 2014-07-03 |
| 1124446026 | Mihir Deepak Buch | Internal Medicine | 2500 W 12th St Ste C, Erie, PA 16505-4500 | 2014-03-29 |
| 1871916817 | Saint Vincent Medical Education and Research Institute Inc | Internal Medicine | 3580 Peach St, Suite 103a, Erie, PA 16508-2776 | 2014-01-28 |
| 1477994713 | Animesh Chidanandrao Gour | Internal Medicine | 204 W 26th St, Erie, PA 16508-1806 | 2013-07-16 |
| 1497098776 | Kiet Ma | Internal Medicine | 204 W 26th St, Erie, PA 16508-1806 | 2013-04-04 |
| 1043590318 | Edward Michael Overfield | Internal Medicine | 3580 Peach St, Erie, PA 16508-2787 | 2011-08-18 |
| 1467574186 | Stephen P Kovacs | Internal Medicine | 1781 W 26th St, Erie, PA 16508-1256 | 2007-04-04 |
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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.