MEDICOR ASSOCIATES, INC. (NPI# 1215931266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215931266 |
| Entity Type | Organization |
| Organization Name | MEDICOR ASSOCIATES, INC. |
| Practice Address |
120 E 2nd St Ste 2 Erie PA 16507-1537 |
| Practice Telephone | 8144568980 |
| Practice Fax Number | 8144510443 |
| Mailing Telephone | 8144568980 |
| Mailing Fax Number | 8144510443 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2009-04-06 |
| Authorized Official Name | CHARLES M FURR (CORPORATION PRESIDENT) |
| Authorized Official Telephone | 8144568980 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
CARDIOLOGY | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000688380 | 05 |
| Street Address |
120 E 2ND ST STE 2 |
| City | ERIE |
| State | PA |
| Zip Code | 16507-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518961564 | Paul Demjanenko | Internal Medicine | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2005-06-08 |
| 1114491958 | Brian David Blair | Nurse Practitioner | 120 E 2nd St, Erie, PA 16507-1537 | 2019-01-15 |
| 1992248934 | Brande Dietrich-mclean | Nurse Practitioner | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2016-11-23 |
| 1649722117 | Valerie A Tharp | Physician Assistant | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2016-10-31 |
| 1053861856 | Susan Troutner | Psychologist | 120 E 2nd St, Third Floor, Erie, PA 16507-1537 | 2016-10-05 |
| 1487104220 | Christa M Norman | Physician Assistant | 120 E 2nd St, Erie, PA 16507-1537 | 2016-10-05 |
| 1255889481 | Cynthia Ann Chuzie-mcdowell | Nurse Practitioner | 120 E 2nd St, Suite #401, Erie, PA 16507-1537 | 2016-09-16 |
| 1104290915 | Mary Jill Vaillancourt | Registered Nurse | 120 E 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2015-11-17 |
| 1841670155 | Alyssa Drushel | Physician Assistant | 120 E 2nd St, 3rd Floor, Erie, PA 16507-1537 | 2015-06-02 |
| 1558768846 | Abigail Lee Trapp | Physician Assistant | 120 E 2nd St, Erie, PA 16507-1537 | 2014-12-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
| 1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
| 1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
| 1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
| 1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
| 1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
| 1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
| 1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
| Find all providers in zip 16507 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325108 | Robert J Ferraro | Internal Medicine | 120 E. 2nd St, 2nd Floor, Erie, PA 16507-1537 | 2005-06-08 |
| 1255335220 | Gurjaipal S Kang | Internal Medicine | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2005-06-08 |
| 1861660409 | Quentin Marc Orlando | Internal Medicine | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2008-02-18 |
| 1861698748 | Bryan Glen Schwartz | Internal Medicine | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2007-06-26 |
| 1417925256 | Robert L Maholic | Internal Medicine | 120 E 2nd St Fl 2, Erie, PA 16507-1579 | 2006-03-09 |
| 1902800972 | Richard W Petrella | Internal Medicine | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2005-06-08 |
| 1972507929 | Timothy C Trageser | Internal Medicine | 120 E 2nd St Fl 2, Erie, PA 16507-1537 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326609686 | Grand View Hospital | Internal Medicine | 700 Lawn Ave Fl 2, Sellersville, PA 18960-1548 | 2019-06-26 |
| 1841798121 | Coordinated Health of Penn, LLC | Internal Medicine | 1700 Market St Ste 1005a104, Philadelphia, PA 19103-3913 | 2018-01-31 |
| 1124409826 | Sanjog Kalra | Internal Medicine | 5501 Old York Road, 3rd Floor Levy Building, Albert Einstein Medical Center-division of Cardiology, Philadelphia, PA 19141 | 2015-06-18 |
| 1588905095 | Harvard Cardiovascular Inc | Internal Medicine | 362 Sprague Rd, Penn Valley, PA 19072-1124 | 2013-03-07 |
| 1669784880 | Paul Lewis Hermany II | Internal Medicine | 2649 Schoenersville Rd Ste 301, Bethlehem, PA 18017 | 2010-07-02 |
| 1063651123 | Deepika Rao Kalisetti | Internal Medicine | 743 Jefferson Ave Ste 305, Scranton, PA 18510-1639 | 2009-02-13 |
| 1679591374 | Subrahmanyam Chivukula | Internal Medicine | 245 Mill Street, Bristol, PA 19007 | 2006-07-18 |
| 1710913736 | Stafford Michael Smith | Internal Medicine | 102 N Abington Rd, Suite #103, Clarks Green, PA 18411-2300 | 2006-06-23 |
| 1891732541 | Gregory D Cox | Internal Medicine | 2135 Noll Dr Ste D, Lancaster, PA 17603-7602 | 2006-06-01 |
| 1811934565 | Scott T. Riebel | Internal Medicine | 1600 6th Ave Ste 108, York, PA 17403-2626 | 2006-06-01 |
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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.