GREGG C MASON (NPI# 1922063353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922063353 |
| Entity Type | Individual |
| Full Name | GREGG C MASON |
| Credential | MD |
| Practice Address |
204 W 26th St Erie PA 16508-1898 |
| Practice Telephone | 8144542401 |
| Practice Fax Number | 8144595992 |
| Mailing Telephone | 8144542401 |
| Mailing Fax Number | 8144595992 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2009-12-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD034551E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK | 000194185 | 01 |
| RAILROAD MEDICARE | 200019205 | 01 | |
| PA | 0013071560001 | 05 |
| Street Address |
204 W 26TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16508-1898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780651554 | Jeffrey P Mcgovern | Internal Medicine | 204 W 26th St, Erie, PA 16508-1806 | 2006-03-01 |
| 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 |
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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 |
| Find all providers in zip 16508 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1275782617 | James Edward Mraz | Orthopaedic Surgery | 204 West 26th St, Erie, PA 16508 | 2008-09-10 |
| 1205890407 | Thomas J Fessler | Orthopaedic Surgery | 100 Peach Street, Suite 400, Erie, PA 16507 | 2006-04-14 |
| 1194789396 | Mark S Buseck | Orthopaedic Surgery | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2006-04-14 |
| 1225031149 | David M Babins | Orthopaedic Surgery | 300 State St, Ste 400a, Erie, PA 16507-1427 | 2005-05-24 |
| 1093718926 | Gary J Cortina | Orthopaedic Surgery | 300 State St Fl 4, Erie, PA 16507-1427 | 2005-05-24 |
| 1376546358 | Nick Stefanovski | Orthopaedic Surgery | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2005-05-24 |
| 1811514805 | Michael Driscoll | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1952927949 | Alec David Grossman | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1417573973 | Stepan Shumyak | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-21 |
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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.