OSTEOPATHIC INTERNAL MEDICINE (NPI# 1073873303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073873303 |
| Entity Type | Organization |
| Organization Name | OSTEOPATHIC INTERNAL MEDICINE |
| Other Organization Name | PLAZA 38 MEDICAL CENTER |
| Practice Address |
2010 W 38th St 1 Erie PA 16508-2004 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 8148685481 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | KENNY HEINE (VP OPS) |
| Authorized Official Telephone | 8589641508 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | OS003106L | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| PLAZA 38 MEDICAL CENTER | Doing Business As Name - Organization |
| Street Address |
2010 W 38TH ST 1 |
| City | ERIE |
| State | PA |
| Zip Code | 16508-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851356885 | Daniel Laskowski | Surgery | 2010 W 38th St, Erie, PA 16508-2004 | 2006-04-20 |
| 1124468152 | Kristen Lynn Heard | Podiatrist | 2010 W 38th St, Erie, PA 16508-2004 | 2013-07-05 |
| 1104192152 | Medical Associates of Erie | Neuromusculoskeletal Medicine & OMM | 2010 W 38th St, Erie, PA 16508-2004 | 2012-03-23 |
| 1497984512 | Brian Vincent Viviano | Internal Medicine | 2010 W 38th St, Erie, PA 16508-2004 | 2009-07-10 |
| 1104944677 | Medical Associates of Erie | Internal Medicine | 2010 W 38th St, Erie, PA 16508-2004 | 2007-03-26 |
| 1548214851 | Silvia Marie Ferretti | Physical Medicine & Rehabilitation | 2010 W 38th St, Erie, PA 16508-2004 | 2006-05-20 |
| 1346292406 | William Henry Wismer | Internal Medicine | 2010 W 38th St, Erie, PA 16508-2004 | 2006-05-17 |
| 1295787356 | Vincent Stephen Fierro Jr. | Internal Medicine | 2010 W 38th St, Erie, PA 16508-2004 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417486705 | Robert Vance Danielson IIi | Specialist/Technologist | 3527 Maple St., Erie, PA 16508 | 2017-06-08 |
| 1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
| 1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
| 1417371311 | Psychological Health Services | Counselor | 956 West 38th Street, Erie, PA 16508 | 2014-02-12 |
| 1518210699 | Deerfield Behavioral Health, Inc. | Counselor | 2808 State Street, Erie, PA 16508 | 2012-10-26 |
| 1851675243 | Nutrition and Healing Center, Inc. | Chiropractor | 1455 West 38th Street, Suite 2, Erie, PA 16508 | 2011-10-04 |
| 1659659415 | Patricia Luisa Palotas | Counselor | 2170 West 32nd, Affinity Family Services, Inc, Erie, PA 16508 | 2011-07-28 |
| 1841581808 | Melissa M Wilson | Dietitian, Registered | 23 West 41st Street, Erie, PA 16508 | 2011-04-26 |
| 1649599374 | Amber A Kridler | Chiropractor | 1334 W. 26th St, Erie, PA 16508 | 2010-05-20 |
| 1023256427 | Christine Williamson | Occupational Therapist | 10 Summit Street, Erie, PA 16508 | 2009-01-23 |
| Find all providers in zip 16508 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588994982 | Erik O. Esper, D.o. | Non-Pharmacy Dispensing Site | 5050 W Ridge Rd, Erie, PA 16506-1216 | 2010-01-06 |
| 1558402156 | Regional Health Services Inc. | Non-Pharmacy Dispensing Site | 1600 Peninsula Dr, Suite C, Erie, PA 16505-4261 | 2007-02-08 |
| 1083067516 | Regional Health Services Inc | Non-Pharmacy Dispensing Site | 510 Cranberry St, Suite 200, Erie, PA 16507-1075 | 2016-07-20 |
| 1952747917 | Regional Health Services Inc | Non-Pharmacy Dispensing Site | 3330 Peach St, 106 Ent B, Erie, PA 16508-2769 | 2013-05-17 |
| 1528303617 | Primary Health Network | Non-Pharmacy Dispensing Site | 650 East Ave, B, Erie, PA 16503-1524 | 2012-11-30 |
| 1427301332 | Medical Associates of Erie, Inc. | Non-Pharmacy Dispensing Site | 5637 Peach St, Erie, PA 16509-2605 | 2012-10-17 |
| 1508117862 | Medical Associates of Erie | Non-Pharmacy Dispensing Site | 537 W 18th St, Erie, PA 16502-1722 | 2012-09-27 |
| 1043570443 | Medical Associates of Erie Inc. | Non-Pharmacy Dispensing Site | 5401 Peach St, 3rd Floor, Erie, PA 16509-2601 | 2012-05-21 |
| 1629340609 | Erie Physicians Network- Upmc Inc | Non-Pharmacy Dispensing Site | 3535 Pine Ave, Ste 1, Erie, PA 16504-1743 | 2012-02-06 |
| 1902175748 | Regional Health Services Inc. | Non-Pharmacy Dispensing Site | 300 State St, 103a, Erie, PA 16507-1427 | 2011-12-23 |
| Find all providers in ERIE | ||||
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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.