RICHARD E REDLINGER JR. (NPI# 1376704619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376704619 |
| Entity Type | Individual |
| Full Name | RICHARD E REDLINGER JR. |
| Credential | MD |
| Practice Address |
2315 Myrtle St Suite 160 Erie PA 16502-4602 |
| Mailing Address |
1000 Dutch Ridge Rd Beaver PA 15009-9727 |
| Practice Telephone | 8144569197 |
| Practice Fax Number | 8144552765 |
| Mailing Telephone | 8144569197 |
| Mailing Fax Number | 8144552765 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2020-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
D86916 | MD | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD451748 | PA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12502 Willowbrook Rd, Cumberland, MD 215026491 | 2409648724 | 2409648735 |
| Street Address |
2315 MYRTLE ST SUITE 160 |
| City | ERIE |
| State | PA |
| Zip Code | 16502-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164420519 | Heather P Adams | Physician Assistant | 2315 Myrtle St, Suite220, Erie, PA 16502-4602 | 2005-07-11 |
| 1154869386 | Saint Vincent Medical Education and Research Inst. Inc. | Obstetrics & Gynecology | 2315 Myrtle St, Suite 290, Erie, PA 16502-4602 | 2017-02-08 |
| 1366829327 | Ashlin M Thuman | Registered Nurse | 2315 Myrtle St, Suite 190, Erie, PA 16502-4604 | 2015-04-29 |
| 1053714402 | Joseph M Bracalento | Physician Assistant | 2315 Myrtle St, Suite 190, Erie, PA 16502-4604 | 2014-09-30 |
| 1922400191 | Mary Breckur | Nurse Practitioner | 2315 Myrtle St, Suite 220, Erie, PA 16502-4602 | 2014-09-19 |
| 1144639782 | Kimberly Letizio | Registered Nurse | 2315 Myrtle St, Suite 190, Erie, PA 16502-4604 | 2014-08-07 |
| 1417366360 | Carlee Difucci | Physician Assistant | 2315 Myrtle St, Suite 290, Erie, PA 16502-4602 | 2014-08-05 |
| 1023427044 | St Vincent Medical Education and Research Institute Inc | Surgery | 2315 Myrtle St, Suite 160, Erie, PA 16502-4602 | 2014-08-04 |
| 1639586308 | Heather R Mozdy | Midwife | 2315 Myrtle St, Erie, PA 16502-4602 | 2014-07-15 |
| 1366878787 | Madison Collins | Physician Assistant | 2315 Myrtle St, Ste 290, Erie, PA 16502-4602 | 2013-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437342797 | Paul Scott Lajos | Surgery | 120 E 2nd St Fl 4, Erie, PA 16507 | 2007-08-21 |
| 1669866943 | Matthew Joseph Terbush | Surgery | 201 State St, Erie, PA 16550-0001 | 2015-03-24 |
| 1205231982 | Carleen Cho | Surgery | 2315 Myrtle St Ste 120, Erie, PA 16502-4602 | 2014-10-24 |
| 1023427044 | St Vincent Medical Education and Research Institute Inc | Surgery | 2315 Myrtle St, Suite 160, Erie, PA 16502-4602 | 2014-08-04 |
| 1275700585 | Navalkishor R Udgiri | Surgery | 2315 Myrtle St Ste 120, Erie, PA 16502-4602 | 2008-05-15 |
| 1467536870 | Osteopathic Medical &surgical Associates | Surgery | 5473 Village Common Dr, Suite 201, Erie, PA 16506-4961 | 2006-10-24 |
| 1386731248 | Jay J Kiessling | Surgery | 5401 Peach St, Suite 3300, Erie, PA 16509-2601 | 2006-10-10 |
| 1184719320 | Saint Vincent Medical Education & Research Institute | Surgery | 2315 Myrtle St, Suite 160, Erie, PA 16502-4602 | 2006-10-04 |
| 1659306637 | Vascular & Endovascular Surgical Associates Inc | Surgery | 145 W 23rd St, Suite 303, Erie, PA 16502-2858 | 2006-07-11 |
| 1770522146 | Carl Gregory Lauer | Surgery | 145 W 23rd St, Suite 303, Erie, PA 16502-2858 | 2006-06-04 |
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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.