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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
2501 PALERMO DR STE A |
City | ERIE |
State | PA |
Zip Code | 16506-7210 |
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 |
1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
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 |
Find all providers in zip 16506 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073146833 | Boulder Medical Center, P.C. | Clinic/Center | 89 S Briggs St Ste 105, Erie, CO 80516-4063 | 2020-02-19 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205461845 | Dynamic Injury Solutions, LLC | Clinic/Center | 1000 Easton Rd Ste 290, Wyncote, PA 19095-2926 | 2020-03-04 |
1164077970 | Jc Blair Medical Services Inc. | Clinic/Center | 1225 Warm Springs Ave Fl 3, Huntingdon, PA 16652-2350 | 2019-08-08 |
1902451016 | Jc Blair Medical Services Inc. | Clinic/Center | 820 Bryan St Ste 3, Huntingdon, PA 16652-2409 | 2019-08-06 |
1629638481 | Crossover Health Medical Group | Clinic/Center | 1701 John F Kennedy Blvd Fl 25, Philadelphia, PA 19103-2851 | 2019-06-14 |
1720641491 | Mtc Wellness, LLC | Clinic/Center | 280 Ripka St, Philadelphia, PA 19127-1125 | 2019-04-18 |
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 |
1225505936 | Tower Health Urgent Care, LLC | Clinic/Center | 2231 Bryn Mawr Ave, Philadelphia, PA 19131-2508 | 2018-10-31 |
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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.