NICK STEFANOVSKI (NPI# 1376546358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376546358 |
| Entity Type | Individual |
| Full Name | NICK STEFANOVSKI |
| Credential | MD |
| Practice Address |
100 Peach St Ste 400 Erie PA 16507-1423 |
| Practice Telephone | 8148779100 |
| Practice Fax Number | 8144548470 |
| Mailing Telephone | 8148779100 |
| Mailing Fax Number | 8144548470 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2019-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD039774E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
100 PEACH ST STE 400 |
| City | ERIE |
| State | PA |
| Zip Code | 16507-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285256909 | Kevin Zachary Black | Student in an Organized Health Care Education/Training Program | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2020-05-15 |
| 1124640420 | Fernando H Ferrera | Student in an Organized Health Care Education/Training Program | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2020-05-11 |
| 1952960239 | Dylan Lawrence | Student in an Organized Health Care Education/Training Program | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2019-06-10 |
| 1588228886 | Andrew Ashby Barrett | Student in an Organized Health Care Education/Training Program | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2019-04-23 |
| 1821651217 | Jeffrey Zoltan | Student in an Organized Health Care Education/Training Program | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2019-04-21 |
| 1033686902 | Jessica Mae Bourke | Physician Assistant | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2018-10-30 |
| 1467760363 | Julia D Coseo | Physician Assistant | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2010-09-14 |
| 1881876589 | Joseph D Kitts | Physician Assistant | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2007-12-04 |
| 1295747848 | Mark A. Krahe | Orthopaedic Surgery | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2006-08-12 |
| 1386611523 | Carl Y Seon | Orthopaedic Surgery | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2006-03-07 |
| Find all providers in the same location | ||||
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1275782617 | James Edward Mraz | Orthopaedic Surgery | 204 West 26th St, Erie, PA 16508 | 2008-09-10 |
| 1205890407 | Thomas J Fessler | Orthopaedic Surgery | 100 Peach Street, Suite 400, Erie, PA 16507 | 2006-04-14 |
| 1194789396 | Mark S Buseck | Orthopaedic Surgery | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2006-04-14 |
| 1225031149 | David M Babins | Orthopaedic Surgery | 300 State St, Ste 400a, Erie, PA 16507-1427 | 2005-05-24 |
| 1093718926 | Gary J Cortina | Orthopaedic Surgery | 300 State St Fl 4, Erie, PA 16507-1427 | 2005-05-24 |
| 1811514805 | Michael Driscoll | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1952927949 | Alec David Grossman | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1417573973 | Stepan Shumyak | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-21 |
| 1780217646 | Medical Associates of Erie | Orthopaedic Surgery | 5401 Peach St Ste 3500, Erie, PA 16509-2601 | 2020-02-19 |
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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.