ARMANINI, KOLODYCHAK, & BASILE, L.L.P. (NPI# 1215972716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215972716 |
| Entity Type | Organization |
| Organization Name | ARMANINI, KOLODYCHAK, & BASILE, L.L.P. |
| Practice Address |
4600 Zuck Rd Erie PA 16506-4932 |
| Practice Telephone | 8148382144 |
| Practice Fax Number | 8148387227 |
| Mailing Telephone | (814) 838-2144 |
| Mailing Fax Number | 8148387227 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2017-12-15 |
| Authorized Official Name | DR. MICHAEL THOMAS KOLODYCHAK (PARTNER) |
| Authorized Official Telephone | 8148382144 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HIGHMARK IDENTIFICATION | 000950549 | 01 | |
| UPMC HEALTH PLAN IDENTIFICATION | V0V08O | 01 |
| Street Address |
4600 ZUCK RD |
| City | ERIE |
| State | PA |
| Zip Code | 16506-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467428276 | Timothy Joseph Armanini | Dentist | 4600 Zuck Rd, Erie, PA 16506-4932 | 2006-02-23 |
| 1992952667 | John David Basile | Dentist | 4600 Zuck Rd, Erie, PA 16506-4932 | 2008-08-25 |
| 1376519181 | Michael Thomas Kolodychak | Dentist | 4600 Zuck Rd, Erie, PA 16506-4932 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093946378 | Eugene C Kang | Oral & Maxillofacial Surgery | 671 Mitchell Way, Suite 100, Erie, CO 80516-5445 | 2009-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376990853 | Center City Oral & Maxillofacial Surgery | Oral & Maxillofacial Surgery | 1740 South St Ste 302, Philadelphia, PA 19146-1572 | 2016-05-16 |
| 1962782318 | Stuart None Heydt | Oral & Maxillofacial Surgery | 544 Olde Course Rd, Hershey, PA 17033-1337 | 2011-08-17 |
| 1356629711 | Chintan I Patel | Oral & Maxillofacial Surgery | 2225 Kohn Rd, Harrisburg, PA 17110-9604 | 2011-08-02 |
| 1023338845 | Donald E Roland Jr. | Oral & Maxillofacial Surgery | 500 Heritage Dr, Pottstown, PA 19464-3233 | 2010-06-03 |
| 1669694964 | Aloysius Vincetn Murcko Sr. | Oral & Maxillofacial Surgery | 7421 Sharon Mercer Road, Mercer, PA 16137-6538 | 2007-05-03 |
| 1780705475 | Drs Ronald & Christopher Dileo | Oral & Maxillofacial Surgery | 4104 W Tilghman Street, Allentown, PA 18104 | 2007-04-02 |
| 1760544282 | Richard T Kingston Jr. | Oral & Maxillofacial Surgery | 2414 Schoenersville Rd, Bethlehem, PA 18017 | 2006-12-14 |
| 1144396177 | Pasqual Associates | Oral & Maxillofacial Surgery | 603 Washington Road, Pittsburgh, PA 15228-1909 | 2006-11-28 |
| 1033283841 | Quad County Oral & Maxillofacial Surgery | Oral & Maxillofacial Surgery | 114 East Dimond St, Butler, PA 16001-5906 | 2006-11-20 |
| 1730268079 | Children's Surgical Associates Ltd | Oral & Maxillofacial Surgery | 34th & Civc Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2006-11-06 |
| Find all providers with the same taxonomy | ||||
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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.