SAINT VINCENT DIABETES RESOURCE OUTPATIENT NUTRITION CENTER (NPI# 1821419813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821419813 |
| Entity Type | Organization |
| Organization Name | SAINT VINCENT DIABETES RESOURCE OUTPATIENT NUTRITION CENTER |
| Practice Address |
145 W 23rd St Suite 302 Erie PA 16544-0002 |
| Practice Telephone | 8144527354 |
| Mailing Telephone | 8144527354 |
| 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 | HIGHMARK FACILITY NUMBER | 0072 | 01 |
| PA | 1001625200025 | 05 |
| Street Address |
145 W 23RD ST SUITE 302 |
| City | ERIE |
| State | PA |
| Zip Code | 16544-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437148418 | Jason D Crilley | Podiatrist | 145 W 23rd St, Suite 302a, Erie, PA 16502-2858 | 2005-10-21 |
| 1699286716 | Kaitlyn Sabo | Physician Assistant | 145 W 23rd St, Erie, PA 16502-2858 | 2017-10-16 |
| 1699130989 | Victoria Barko | Dietitian, Registered | 145 W 23rd St, Ste 302a, Erie, PA 16502-2858 | 2015-12-31 |
| 1588029276 | Saint Vincent Medical Education and Research Institute | Dietitian, Registered | 145 W 23rd St, Suite 302a, Erie, PA 16502-2858 | 2015-12-22 |
| 1942540141 | Linda M Johnson | Nurse Practitioner | 145 W 23rd St, Suite 201, Erie, PA 16502-2858 | 2013-02-25 |
| 1326316266 | Kathleen Ann Scutella | Nurse Practitioner | 145 W 23rd St, Suite 303, Erie, PA 16502-2858 | 2011-12-07 |
| 1053696997 | Lake Erie Medical Group PC | Family Medicine | 145 W 23rd St, Suite 202, Erie, PA 16502-2858 | 2011-10-11 |
| 1114201431 | Saint Vincent Medical Education and Research Institute | Surgery | 145 W 23rd St, Suite 303, Erie, PA 16502-2858 | 2011-10-05 |
| 1043535453 | Christopher R Serafini | Family Medicine | 145 W 23rd St, Suite 101, Erie, PA 16502-2806 | 2010-03-30 |
| 1194049288 | St Vincent Medical Education and Research Institute Inc | Colon & Rectal Surgery | 145 W 23rd St, Suite 201, Erie, PA 16502-2858 | 2010-03-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568087542 | Jason Latsky | Student in an Organized Health Care Education/Training Program | 232 W 25th Street, Erie, PA 16544 | 2020-06-15 |
| 1659747483 | Chad Val Stratford | Emergency Medicine | 252 W 25th St, Erie, PA 16544 | 2015-08-17 |
| 1700378130 | Craig Truman Brewster | Student in an Organized Health Care Education/Training Program | 232 W 25th St, Erie, PA 16544 | 2018-06-01 |
| 1508357716 | Irtaza Asar | Student in an Organized Health Care Education/Training Program | 232 W 25th St, Erie, PA 16544 | 2018-05-23 |
| 1679064810 | Rosalind Konikoff | Emergency Medicine | 232 W 25th St, Erie, PA 16544 | 2018-05-23 |
| 1992123129 | Matthew Johnson | Anesthesiology | 232 W 25th St, Erie, PA 16544 | 2014-04-04 |
| 1013563147 | Joshua M Botimer | Pharmacist | 232 W 54th St, Erie, PA 16544-0001 | 2019-08-14 |
| 1639738693 | Sejal Akash Patel | Emergency Medicine | 232 W 25th St, Erie, PA 16544-0001 | 2019-06-12 |
| 1023677127 | Brian Pickering | Family Medicine | 232 W 25th St, Erie, PA 16544-0001 | 2019-06-12 |
| 1497314116 | Xinyi Ge | Family Medicine | Saint Vincent Hospital, Erie, PA 16544-0001 | 2019-06-06 |
| Find all providers in zip 16544 | ||||
| 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 |
| 1770904765 | Saint Vincent Imaging Center At Yorktown | General Acute Care Hospital | 2501 W 12th St, Erie, PA 16505-4527 | 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.