FLAGSHIP FUNCTIONAL MEDICINE


Address: 2501 Palermo Dr Ste A, Erie, PA 16506-7210
Phone: 8148355054

FLAGSHIP FUNCTIONAL MEDICINE (NPI# 1952918104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952918104
Entity Type Organization
Organization Name FLAGSHIP FUNCTIONAL MEDICINE
Practice Address 2501 Palermo Dr Ste A
Erie
PA 16506-7210
Practice Telephone 8148355054
Mailing Telephone 8148355054
Enumeration Date 2020-09-30
Last Update Date 2020-10-06
Authorized Official Name JEREMIAH SCHREIBER (DC)
Authorized Official Telephone 8148355054
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 2501 PALERMO DR STE A
City ERIE
State PA
Zip Code 16506-7210

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NPI Name Taxonomy Address Enumeration
1215582838 Casey Smith Behavioral Analyst 4950 W 23rd Street, Suite 1, Erie, PA 16506 2019-08-09
1962916155 Joseph Michael Moon Chiropractor 2921 W 26th St, Erie, PA 16506 2017-11-27
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1295152700 Gabrielle Carr Counselor 2420 West 23rd St, Erie, PA 16506 2014-03-21
1407296973 Carolyn Danner-bliss Pediatric Dietitian Services, LLC Dietitian, Registered 5105 Coventry Drive, Erie, PA 16506 2013-06-28
1962847772 Philip J Dunn Internal Medicine 3615 Woodhaven Dr, Erie, PA 16506 2013-05-07
1619236684 Joseph S. Serafini Hearing Instrument Specialist 2930 Mckee Rd, Erie, PA 16506 2012-05-11
1063788313 Tatiana V Khochay Registered Nurse 2801 Burgundy Dr., Erie, PA 16506 2012-03-30
1699051318 Krystyna Teresa Wozniak Licensed Practical Nurse 3912 East Boardwalk Place, Erie, PA 16506 2011-10-26
1033436324 Alexis Jean Mustin Social Worker 3210 West 32nd Street, Erie, PA 16506 2010-04-26
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1215080908 Erie Physicians Network, PC Clinic/Center 3535 Pine Ave, 1st Floor, Erie, PA 16504-1743 2007-01-18
1902844574 Erie Physicians Network PC Clinic/Center 3535 Pine Ave, 1st Floor, Erie, PA 16504-1743 2006-06-03

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1629638481 Crossover Health Medical Group Clinic/Center 1701 John F Kennedy Blvd Fl 25, Philadelphia, PA 19103-2851 2019-06-14
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1548727621 Drayer Physical Therapy Institute LLC Clinic/Center 165 Glen Dr, Manchester, PA 17345-1336 2019-02-26
1962970830 Drayer Physical Therapy Institute LLC Clinic/Center 6560 Carlisle Pike Ste 425, Mechanicsburg, PA 17050-8246 2018-11-08
1598233520 Drayer Physical Therapy Institute LLC Clinic/Center 1606 N Center Ave Ste 170, Somerset, PA 15501-7052 2018-11-07
1477021921 Tower Health Urgent Care, LLC Clinic/Center 1139 Ben Franklin Pkwy, Douglassville, PA 19518 2018-11-02
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Competitor

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City ERIE
Zip Code 16506

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Dataset Information

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.

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