ERIE OSTEOPATHIC MEDICINE, LLC (NPI# 1407463417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407463417 |
Entity Type | Organization |
Organization Name | ERIE OSTEOPATHIC MEDICINE, LLC |
Practice Address |
2115 W 38th St Erie PA 16508-1925 |
Mailing Address |
310 Erica Dr Erie PA 16509-7836 |
Practice Telephone | 8145042926 |
Mailing Telephone | 8145042926 |
Enumeration Date | 2020-09-24 |
Last Update Date | 2020-09-24 |
Authorized Official Name | DR. STEVEN THOMAS O'DONNELL (PRINCIPAL) |
Authorized Official Telephone | 8145042926 |
Authorized Official Credential | DO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians | ||
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
2115 W 38TH ST |
City | ERIE |
State | PA |
Zip Code | 16508-1925 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922057363 | Steven T O'donnell | Neuromusculoskeletal Medicine & OMM | 2115 W 38th St, Erie, PA 16508-1925 | 2006-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417486705 | Robert Vance Danielson IIi | Specialist/Technologist | 3527 Maple St., Erie, PA 16508 | 2017-06-08 |
1336670785 | Judith Shaffer | Social Worker | 213 Gridley Ave, Erie, PA 16508 | 2017-03-27 |
1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
1417371311 | Psychological Health Services | Counselor | 956 West 38th Street, Erie, PA 16508 | 2014-02-12 |
1518210699 | Deerfield Behavioral Health, Inc. | Counselor | 2808 State Street, Erie, PA 16508 | 2012-10-26 |
1851675243 | Nutrition and Healing Center, Inc. | Chiropractor | 1455 West 38th Street, Suite 2, Erie, PA 16508 | 2011-10-04 |
1659659415 | Patricia Luisa Palotas | Counselor | 2170 West 32nd, Affinity Family Services, Inc, Erie, PA 16508 | 2011-07-28 |
1841581808 | Melissa M Wilson | Dietitian, Registered | 23 West 41st Street, Erie, PA 16508 | 2011-04-26 |
1649599374 | Amber A Kridler | Chiropractor | 1334 W. 26th St, Erie, PA 16508 | 2010-05-20 |
1023256427 | Christine Williamson | Occupational Therapist | 10 Summit Street, Erie, PA 16508 | 2009-01-23 |
Find all providers in zip 16508 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518591163 | True Rejuvenation Peptide and Hormone Replacement Therapy Pllc | Clinic/Center | 4523 W Ridge Rd, Erie, PA 16506-1435 | 2020-02-22 |
1669028387 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201c, Erie, CO 80516-4072 | 2019-08-19 |
1295381002 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201e, Erie, CO 80516-4072 | 2019-08-16 |
1679902126 | Neosho Memorial Regional Medical Center | Clinic/Center | 13920 Highway 59, Erie, KS 66733-5001 | 2013-11-05 |
1720272297 | Tri-county Medical Center, P.C. | Clinic/Center | 720 Austin Ave, Suite 103, Erie, CO 80516-2422 | 2007-08-28 |
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1700484961 | New Beginnings Healthcare, Pllc | Clinic/Center | 24 N 7th St, Stroudsburg, PA 18360-2266 | 2020-10-11 |
1164035267 | Vision On The Move | Clinic/Center | 1015 Toll St, Eddystone, PA 19022-1451 | 2020-08-28 |
1245859388 | Accommodating Healthcare Solutions, PC | Clinic/Center | 1744 Bridgetown Pike, Feasterville Trevose, PA 19053-2362 | 2020-04-09 |
1427684059 | Health Care Center LLC | Clinic/Center | 16e Hanover Street, Hanover St, Gettysburg, PA 17325 | 2020-03-16 |
1881238988 | Slrmed LLC | Clinic/Center | 781 Easton Rd, Warrington, PA 18976-2019 | 2019-10-31 |
1487205167 | Careatc | Clinic/Center | 6340 Flank Dr, Harrisburg, PA 17112-2764 | 2019-09-24 |
1770134454 | Careatc | Clinic/Center | 1126 Walnut St Ste B, Lebanon, PA 17042-5939 | 2019-09-24 |
1023670189 | Avalon Primary Care, PC | Clinic/Center | 2160 Lincoln Hwy E Ste 1-a4, Lancaster, PA 17602-1150 | 2019-06-28 |
1639734213 | Ideal Wellness Family Practice, PC | Clinic/Center | 701 Leon Ave, Palmyra, PA 17078-3554 | 2019-05-08 |
1235697061 | Family Vision Enterprises | Clinic/Center | 6201 N Front St Ste 119, Philadelphia, PA 19120-1541 | 2019-03-11 |
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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.