DR. LUKE TYLER BALL (NPI# 1922636174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922636174 |
Entity Type | Individual |
Full Name | DR. LUKE TYLER BALL |
Credential | MD |
Practice Address |
300 State St Erie PA 16507-1427 |
Mailing Address |
3600 Forbes Ave Ste 140 Pittsburgh PA 15213-3410 |
Practice Telephone | 8148778370 |
Enumeration Date | 2020-03-31 |
Last Update Date | 2020-03-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
300 STATE ST |
City | ERIE |
State | PA |
Zip Code | 16507-1427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225031149 | David M Babins | Orthopaedic Surgery | 300 State St, Ste 400a, Erie, PA 16507-1427 | 2005-05-24 |
1598299661 | Alyssa Danielle Conjack | Optometrist | 300 State St, Erie, PA 16507-1427 | 2017-04-17 |
1194274712 | Rachel M Gregoroff | Nurse Practitioner | 300 State St, Suite 201, Erie, PA 16507 | 2016-09-23 |
1619353133 | Rick Burgess | Pharmacist | 300 State St, Suite 102, Erie, PA 16507-1427 | 2015-08-06 |
1477949527 | Karen Kelley | Nurse Practitioner | 300 State St, Suite 400a, Erie, PA 16507-1427 | 2015-04-15 |
1649674631 | Molly A Amann | Nurse Practitioner | 300 State St, Suite 302, Erie, PA 16507-1427 | 2014-10-20 |
1477979060 | Suzanne Luteran | Nurse Practitioner | 300 State St, Suite 400a, Erie, PA 16507-1427 | 2014-03-07 |
1699112433 | Shelly Lynn Schmucker | Physician Assistant | 300 State St, Suite 400a, Erie, PA 16507-1427 | 2013-06-03 |
1285070557 | Children's Community Care | Pediatrics | 300 State St, Suite 301, Erie, PA 16507-1427 | 2013-05-14 |
1902175748 | Regional Health Services Inc. | Non-Pharmacy Dispensing Site | 300 State St, 103a, Erie, PA 16507-1427 | 2011-12-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
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Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952913907 | Alexandria Parker | Student in an Organized Health Care Education/Training Program | 535 Brennan Cir, Erie, CO 80516-7049 | 2020-08-20 |
1568087542 | Jason Latsky | Student in an Organized Health Care Education/Training Program | 232 W 25th Street, Erie, PA 16544 | 2020-06-15 |
1366071029 | Claire Catherine Kenny | Student in an Organized Health Care Education/Training Program | 232 Seminole Dr, Erie, PA 16505-2422 | 2020-04-05 |
1679102321 | Brady Bianco | Student in an Organized Health Care Education/Training Program | 5903 Garries Rd, Erie, PA 16506-4806 | 2020-04-05 |
1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
1396208070 | Jackson Joseph Bell | Student in an Organized Health Care Education/Training Program | Upmc Hamot, 201 State Street, Erie, PA 16550 | 2019-04-10 |
1346700234 | Mark Fadel | Student in an Organized Health Care Education/Training Program | 1645 W 8th St Ste 200, Erie, PA 16505-5007 | 2019-03-25 |
1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
1023505005 | Carter Mccance Denne | Student in an Organized Health Care Education/Training Program | Upmc Hamot 201 State Street, Erie, PA 16550 | 2018-04-16 |
1851895858 | Ramandeep Kaur Dhaliwal | Student in an Organized Health Care Education/Training Program | 4427 Hammocks Dr Apt 301, Erie, PA 16506-7421 | 2018-03-23 |
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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.