EASTSIDE MEDICAL CENTER


Address: 2625 Parade St, Erie, PA 16504-2809
Phone: 8144526382

EASTSIDE MEDICAL CENTER (NPI# 1992926786) 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) 1992926786
Entity Type Organization
Organization Name EASTSIDE MEDICAL CENTER
Other Organization Name MEDICAL ASSOCIATES OF ERIE
Practice Address 2625 Parade St
Erie
PA 16504-2809
Practice Telephone 8144526382
Mailing Telephone 8144526382
Enumeration Date 2007-05-01
Last Update Date 2007-11-07
Authorized Official Name DENNIS STYN (PRESIDENT)
Authorized Official Telephone 8148668468
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics Allopathic & Osteopathic Physicians
N 208600000X Surgery Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 0007045720001 05

Other Provider/Organization Names

Other Name Type Code
Medical Associates of Erie Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023263415 Eastside Medical Center Non-Pharmacy Dispensing Site 2625 Parade St, Erie, PA 16504-2809 2008-11-26

Office Location

Street Address 2625 PARADE ST
City ERIE
State PA
Zip Code 16504-2809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447258439 Stefanie L Young Advanced Practice Midwife 2625 Parade St, Erie, PA 16504-2809 2005-07-13
1578198941 Millcreek Community Hospital Family Medicine 2625 Parade St, Erie, PA 16504-2809 2020-03-06
1871030304 Steven Coleman Internal Medicine 2625 Parade St, Erie, PA 16504-2809 2017-01-23
1023263415 Eastside Medical Center Non-Pharmacy Dispensing Site 2625 Parade St, Erie, PA 16504-2809 2008-11-26
1922201268 Millcreek Community Hospital General Acute Care Hospital 2625 Parade St, Erie, PA 16504-2809 2007-06-06
1346368883 Medical Associates of Erie Family Medicine 2625 Parade St, Erie, PA 16504-2809 2007-03-26
1740245844 Steven Habusta Orthopaedic Surgery 2625 Parade St, Erie, PA 16504-2809 2006-04-20
1972574390 David Fox Family Medicine 2625 Parade St, Erie, PA 16504-2809 2006-02-01
1134128341 Anthony Mark Ruffa Family Medicine 2625 Parade St, Erie, PA 16504-2809 2005-07-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306187638 Stephanie Jo Hohos-mahoney Speech-Language Pathologist 135 East 38 Street, Erie, PA 16504 2013-03-12
1154541225 Bonni Burke Dental Hygienist 135 East 38th St., Erie, PA 16504 2007-04-30
1881775278 Sarah T Goebel Social Worker Erie Dept. of Veteran Affairs Medical Center, 135 East 38th St., Erie, PA 16504 2006-10-18
1386742971 Michael Paul Fitzgerald Physician Assistant 135 East 38 Th, Erie, PA 16504 2006-09-20
1285647917 Michele L Harrington Audiologist 135 E 38th St., Erie, PA 16504 2006-08-14
1427081595 Glenwood Internal Medicine, LLP Internal Medicine 213 East 41st St., Erie, PA 16504 2006-07-09
1679502744 Angela Palys Lindemuth Psychiatry & Neurology 135 East 38th St, Dept of Veteran Affairs Medical Center, Erie, PA 16504 2006-07-01
1992748081 Paula Christine Bauda Nurse Practitioner 135 East 38th Street, Erie, PA 16504 2006-06-14
1487605267 Kimberly Ann Thompson Internal Medicine 213 East 41st St, Erie, PA 16504 2006-05-15
1053701508 Bomber Ferraro II Counselor 135 East 38th St, Erie, PA 16504 2015-02-04
Find all providers in zip 16504

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922638642 Tom Root Miller II Family Medicine 35 Niagara Pier, Erie, PA 16507-2312 2020-01-22
1730609041 Michael Greg Palmer Family Medicine 311 West 24th Street 4th Floor, Erie, PA 16502 2017-06-27
1528422870 Jessica Jean Partlow Family Medicine 311 W 24th St Fl 4, Erie, PA 16502-2665 2016-04-12
1407253859 Dr Natalie Teygart PC Family Medicine 939 West 38th St, Erie, PA 16508 2014-12-01
1114350808 Bruce W Baldwin Family Medicine 5704 Brewster Ln, Erie, PA 16505-1110 2013-08-16
1477994689 Joshua Yates Taylor Family Medicine 101 Erie Pkwy, Ste 201c, Erie, CO 80516-4072 2013-07-16
1629413257 Amina Yasser Family Medicine 2314 Sassafras St Fl 2, Erie, PA 16502-2722 2013-05-09
1811258122 Sandy Tapuyao Clemente Family Medicine 3822 Colonial Ave Ste C, Erie, PA 16506-3826 2012-06-04
1730470204 Thomas Leo Obenreder Family Medicine 3232 Hannon Rd, Erie, PA 16510-4450 2011-05-02
1417247123 Medical Associates of Erie Family Medicine 3435 W Lake Rd, Erie, PA 16505-3661 2011-04-14
Find all providers in ERIE

Competitor

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City ERIE
Zip Code 16504

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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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