MILLCREEK COMMUNITY HOSPITAL (NPI# 1164057840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164057840 |
Entity Type | Organization |
Organization Name | MILLCREEK COMMUNITY HOSPITAL |
Practice Address |
5637 Peach St Erie PA 16509-2605 |
Mailing Address |
5515 Peach St Erie PA 16509-2603 |
Practice Telephone | 8148640690 |
Mailing Telephone | 8148644031 |
Mailing Fax Number | 8148687770 |
Enumeration Date | 2020-03-03 |
Last Update Date | 2020-03-06 |
Authorized Official Name | MICHAEL HELLER (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 8148687758 |
Is Organization Subpart | Y |
Parent Organization Name | MILLCREEK COMMUNITY HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians | ||
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780219022 | Millcreek Community Hospital | Internal Medicine | 5535 Peach St Fl 1, Erie, PA 16509-2603 | 2020-03-06 |
1174158737 | Millcreek Community Hospital | Family Medicine | 5401 Peach St Ste 3400, Erie, PA 16509-2601 | 2020-03-04 |
1548263973 | Millcreek Community Hospital | General Acute Care Hospital | 5515 Peach St, Erie, PA 16509-2603 | 2005-05-31 |
1619598638 | Millcreek Community Hospital | Obstetrics & Gynecology | 5401 Peach St Ste 3100, Erie, PA 16509-2601 | 2020-04-30 |
1568097939 | Millcreek Community Hospital | Family Medicine | 537 W 18th St, Erie, PA 16502-1722 | 2020-03-06 |
1245865583 | Millcreek Community Hospital | Neuromusculoskeletal Medicine & OMM | 5401 Peach St Ste 3500, Erie, PA 16509-2601 | 2020-03-06 |
1578198941 | Millcreek Community Hospital | Family Medicine | 2625 Parade St, Erie, PA 16504-2809 | 2020-03-06 |
1245865815 | Millcreek Community Hospital | Psychiatry & Neurology | 4740 Peach St, Erie, PA 16509-2008 | 2020-03-04 |
1871128447 | Millcreek Community Hospital | Urology | 5401 Peach St Ste 3600, Erie, PA 16509-2601 | 2020-03-04 |
1952935892 | Millcreek Community Hospital | Pain Medicine | 5401 Peach St Ste 3300, Erie, PA 16509-2601 | 2020-03-01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MILLCREEK COMMUNITY HOSPITAL | 5515 Peach St, Erie, PA 16509-2603 |
Street Address |
5637 PEACH ST |
City | ERIE |
State | PA |
Zip Code | 16509-2605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568409050 | Frank Mark Tursi | Family Medicine | 5637 Peach St, Erie, PA 16509-2605 | 2006-06-01 |
1427301332 | Medical Associates of Erie, Inc. | Non-Pharmacy Dispensing Site | 5637 Peach St, Erie, PA 16509-2605 | 2012-10-17 |
1932364924 | Gary Lavern Peterson Jr. | Family Medicine | 5637 Peach St, Erie, PA 16509-2605 | 2008-07-19 |
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 |
Find all providers in zip 16509 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
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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.