MARGUERITE EVANOFF-JURKOVIC (NPI# 1962779447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962779447 |
Entity Type | Individual |
Full Name | MARGUERITE EVANOFF-JURKOVIC |
Credential | D.O. |
Practice Address |
5401 Peach St Suite 3500 Erie PA 16509-2601 |
Mailing Address |
1 Lecom Pl Erie PA 16505-2571 |
Practice Telephone | 8148682179 |
Practice Fax Number | 8148682346 |
Mailing Fax Number | 8148682522 |
Enumeration Date | 2011-11-28 |
Last Update Date | 2017-01-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | OS007988 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0013065700005 | 05 |
Street Address |
5401 PEACH ST SUITE 3500 |
City | ERIE |
State | PA |
Zip Code | 16509-2601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558362277 | Patrick Francis Leary | Family Medicine | 5401 Peach St, Suite 3400, Erie, PA 16509-2601 | 2005-08-03 |
1043570443 | Medical Associates of Erie Inc. | Non-Pharmacy Dispensing Site | 5401 Peach St, 3rd Floor, Erie, PA 16509-2601 | 2012-05-21 |
1174844310 | Christopher Rial | Family Medicine | 5401 Peach St, Suite 3400, Erie, PA 16509-2601 | 2010-06-22 |
1144459728 | Jason E Lee | Podiatrist | 5401 Peach St, Suite 3600, Erie, PA 16509-2601 | 2009-07-05 |
1063677524 | Garrett Clark | Internal Medicine | 5401 Peach St, Suite 3500, Erie, PA 16509-2601 | 2008-07-24 |
1326242785 | Jan T Hendryx | Neuromusculoskeletal Medicine & OMM | 5401 Peach St, Suite 3500, Erie, PA 16509-2601 | 2007-06-12 |
1568583326 | Blake Anne-elizabeth Hoppe | Psychiatry & Neurology | 5401 Peach St, Suite 3600, Erie, PA 16509-2601 | 2007-04-02 |
1861539504 | Yvonne Theresa Hoogland | Internal Medicine | 5401 Peach St, Suite 3400, Erie, PA 16509-2601 | 2007-01-31 |
1285703058 | Ruel L Taylor | Urology | 5401 Peach St, Suite 3600, Erie, PA 16509-2601 | 2006-11-07 |
1144399619 | Chevelta A Bostick-smith | Obstetrics & Gynecology | 5401 Peach St, Suite 3100, Erie, PA 16509-2601 | 2006-11-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
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Taxonomy Code | 204D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine & OMM |
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922057363 | Steven T O'donnell | Neuromusculoskeletal Medicine & OMM | 2115 W 38th St, Erie, PA 16508-1925 | 2006-05-10 |
1407463417 | Erie Osteopathic Medicine, LLC | Neuromusculoskeletal Medicine & OMM | 2115 W 38th St, Erie, PA 16508-1925 | 2020-09-24 |
1245865583 | Millcreek Community Hospital | Neuromusculoskeletal Medicine & OMM | 5401 Peach St Ste 3500, Erie, PA 16509-2601 | 2020-03-06 |
1164057840 | Millcreek Community Hospital | Neuromusculoskeletal Medicine & OMM | 5637 Peach St, Erie, PA 16509-2605 | 2020-03-03 |
1821346933 | Erie Physician Network-upmc,inc | Neuromusculoskeletal Medicine & OMM | 1781 W 26th St, Lower Level, Erie, PA 16508-1256 | 2012-08-21 |
1104192152 | Medical Associates of Erie | Neuromusculoskeletal Medicine & OMM | 2010 W 38th St, Erie, PA 16508-2004 | 2012-03-23 |
1790097939 | Kevin Falk | Neuromusculoskeletal Medicine & OMM | 5215 Peach St, Erie, PA 16509-2419 | 2010-07-03 |
1326242785 | Jan T Hendryx | Neuromusculoskeletal Medicine & OMM | 5401 Peach St, Suite 3500, Erie, PA 16509-2601 | 2007-06-12 |
1376694679 | Karl J Falk | Neuromusculoskeletal Medicine & OMM | 5215 Peach St, Erie, PA 16509-2419 | 2007-01-15 |
1124007125 | Gregory W Coppola | Neuromusculoskeletal Medicine & OMM | 5215 Peach St, Erie, PA 16509-2419 | 2006-01-10 |
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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.