JOSEPH M BRACALENTO (NPI# 1053714402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053714402 |
| Entity Type | Individual |
| Full Name | JOSEPH M BRACALENTO |
| Practice Address |
2315 Myrtle St Suite 190 Erie PA 16502-4604 |
| Practice Telephone | 8144537767 |
| Practice Fax Number | 8144546667 |
| Mailing Telephone | 8144537767 |
| Mailing Fax Number | 8144546667 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
4773 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2315 MYRTLE ST SUITE 190 |
| City | ERIE |
| State | PA |
| Zip Code | 16502-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164420519 | Heather P Adams | Physician Assistant | 2315 Myrtle St, Suite220, Erie, PA 16502-4602 | 2005-07-11 |
| 1154869386 | Saint Vincent Medical Education and Research Inst. Inc. | Obstetrics & Gynecology | 2315 Myrtle St, Suite 290, Erie, PA 16502-4602 | 2017-02-08 |
| 1366829327 | Ashlin M Thuman | Registered Nurse | 2315 Myrtle St, Suite 190, Erie, PA 16502-4604 | 2015-04-29 |
| 1922400191 | Mary Breckur | Nurse Practitioner | 2315 Myrtle St, Suite 220, Erie, PA 16502-4602 | 2014-09-19 |
| 1144639782 | Kimberly Letizio | Registered Nurse | 2315 Myrtle St, Suite 190, Erie, PA 16502-4604 | 2014-08-07 |
| 1417366360 | Carlee Difucci | Physician Assistant | 2315 Myrtle St, Suite 290, Erie, PA 16502-4602 | 2014-08-05 |
| 1023427044 | St Vincent Medical Education and Research Institute Inc | Surgery | 2315 Myrtle St, Suite 160, Erie, PA 16502-4602 | 2014-08-04 |
| 1639586308 | Heather R Mozdy | Midwife | 2315 Myrtle St, Erie, PA 16502-4602 | 2014-07-15 |
| 1366878787 | Madison Collins | Physician Assistant | 2315 Myrtle St, Ste 290, Erie, PA 16502-4602 | 2013-09-17 |
| 1831438985 | Erin Marie Herhold | Physician Assistant | 2315 Myrtle St, Ste: 160, Erie, PA 16502-4602 | 2013-02-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
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| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662341 | Haley Michelle Englert | Physician Assistant | 145 W 23rd St Ste 201, Erie, PA 16502-2858 | 2019-10-30 |
| 1255887071 | Danielle Rose Ritts | Physician Assistant | 120 E 2nd St Ste 401, Erie, PA 16507-1577 | 2016-08-31 |
| 1558768846 | Abigail Lee Trapp | Physician Assistant | 120 E 2nd St, Erie, PA 16507-1537 | 2014-12-02 |
| 1366878787 | Madison Collins | Physician Assistant | 2315 Myrtle St, Ste 290, Erie, PA 16502-4602 | 2013-09-17 |
| 1831438985 | Erin Marie Herhold | Physician Assistant | 2315 Myrtle St, Ste: 160, Erie, PA 16502-4602 | 2013-02-10 |
| 1255582227 | Kathryn M Cawley | Physician Assistant | 300 State St Ste 401, Erie, PA 16507-1438 | 2008-10-08 |
| 1568659811 | Sarah Marie Troup | Physician Assistant | 300 State St Ste 401, Erie, PA 16507-1438 | 2007-10-01 |
| 1629105085 | Richard C Zmyslinski | Physician Assistant | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2007-02-27 |
| 1740370998 | Erin N Smochek | Physician Assistant | 120 E 2nd St, 4th Floor, Erie, PA 16507-1537 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450087 | Mary Baich | Physician Assistant | 1050 Bower Hill Rd Ste 208, Pittsburgh, PA 15243-1868 | 2020-06-08 |
| 1972145134 | Emilie A Simone | Physician Assistant | 1050 Bower Hill Rd Ste 309, Pittsburgh, PA 15243-1870 | 2019-10-09 |
| 1518524339 | Nicholas Vernoy Smith | Physician Assistant | 510 South Aiken Avenue, Suite Eg-01 East Wing Shadyside Hospital, Pittsburgh, PA 15232-1505 | 2019-05-28 |
| 1689131757 | Amanda Furst | Physician Assistant | 9100 Babcock Blvd Ste 4828, Pittsburgh, PA 15237-5815 | 2019-02-26 |
| 1659845295 | Alexis Kimes | Physician Assistant | 200 Lothrop St Fl 4, Pittsburgh, PA 15213-2536 | 2019-01-16 |
| 1427530831 | Jordan L Ball | Physician Assistant | 30 Hope Dr # 1200, Hershey, PA 17033-2036 | 2018-08-31 |
| 1740707298 | Robyn Mcnamee | Physician Assistant | 142 Clearview Cir Ste 110, Butler, PA 16001-1565 | 2017-08-25 |
| 1831648336 | Hollie Anne Ramaley | Physician Assistant | 624 E End Ave, Pittsburgh, PA 15221-3424 | 2016-09-25 |
| 1083169890 | Ellen Cannon | Physician Assistant | 1023 Marlin Dr, West Chester, PA 19382-2360 | 2016-08-22 |
| 1295182491 | Emily Tercek | Physician Assistant | 620 Howard Ave Fl 7, Altoona, PA 16601-4804 | 2016-05-17 |
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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.