MEDVANTX,INC (NPI# 1417090358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417090358 |
| Entity Type | Organization |
| Organization Name | MEDVANTX,INC |
| Practice Address |
3330 Peach St Suite 107 Erie PA 16508-2769 |
| Mailing Address |
5810 Nancy Ridge Dr Suite 100 San Diego CA 92121-2834 |
| Practice Telephone | 8148775500 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD053809L | PA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760524326 | Medvantx,inc | Non-Pharmacy Dispensing Site | 575 Lincoln Ave, Suite 104, Bellevue, PA 15202-3550 | 2007-02-12 |
| Street Address |
3330 PEACH ST SUITE 107 |
| City | ERIE |
| State | PA |
| Zip Code | 16508-2769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184698334 | Gregory Vincent Prylinski | Surgery | 3330 Peach St, Erie, PA 16508-2769 | 2006-02-15 |
| 1033568183 | Danielle L Mather | Physician Assistant | 3330 Peach St, Erie, PA 16508-2769 | 2016-06-09 |
| 1497113401 | Regional Health Services Inc | Clinic/Center | 3330 Peach St, Suite 211, Erie, PA 16508-2769 | 2016-02-04 |
| 1235503939 | Renee F Slabic | Dietitian, Registered | 3330 Peach St, Suite 211, Erie, PA 16508-2769 | 2015-11-18 |
| 1861861270 | Marianne Bove | Nurse Practitioner | 3330 Peach St, Suite 106, Erie, PA 16508-2769 | 2015-09-16 |
| 1467835736 | Mary T Grenz | Dietitian, Registered | 3330 Peach St, Suite 211, Erie, PA 16508-2769 | 2015-07-06 |
| 1013399849 | Kimberly Riley Eccles | Dietitian, Registered | 3330 Peach St, Suite 211, Erie, PA 16508-2769 | 2015-06-29 |
| 1811337603 | Anthony David Colonna | Podiatrist | 3330 Peach St, Suite 107, Erie, PA 16508-2769 | 2013-06-26 |
| 1952747917 | Regional Health Services Inc | Non-Pharmacy Dispensing Site | 3330 Peach St, 106 Ent B, Erie, PA 16508-2769 | 2013-05-17 |
| 1730431628 | Regional Health Services, Inc | Clinic/Center | 3330 Peach St, Sterling Square, Suite 2011, Erie, PA 16508-2769 | 2012-10-03 |
| Find all providers in the same location | ||||
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588994982 | Erik O. Esper, D.o. | Non-Pharmacy Dispensing Site | 5050 W Ridge Rd, Erie, PA 16506-1216 | 2010-01-06 |
| 1558402156 | Regional Health Services Inc. | Non-Pharmacy Dispensing Site | 1600 Peninsula Dr, Suite C, Erie, PA 16505-4261 | 2007-02-08 |
| 1083067516 | Regional Health Services Inc | Non-Pharmacy Dispensing Site | 510 Cranberry St, Suite 200, Erie, PA 16507-1075 | 2016-07-20 |
| 1952747917 | Regional Health Services Inc | Non-Pharmacy Dispensing Site | 3330 Peach St, 106 Ent B, Erie, PA 16508-2769 | 2013-05-17 |
| 1528303617 | Primary Health Network | Non-Pharmacy Dispensing Site | 650 East Ave, B, Erie, PA 16503-1524 | 2012-11-30 |
| 1427301332 | Medical Associates of Erie, Inc. | Non-Pharmacy Dispensing Site | 5637 Peach St, Erie, PA 16509-2605 | 2012-10-17 |
| 1508117862 | Medical Associates of Erie | Non-Pharmacy Dispensing Site | 537 W 18th St, Erie, PA 16502-1722 | 2012-09-27 |
| 1043570443 | Medical Associates of Erie Inc. | Non-Pharmacy Dispensing Site | 5401 Peach St, 3rd Floor, Erie, PA 16509-2601 | 2012-05-21 |
| 1073873303 | Osteopathic Internal Medicine | Non-Pharmacy Dispensing Site | 2010 W 38th St, 1, Erie, PA 16508-2004 | 2012-05-21 |
| 1629340609 | Erie Physicians Network- Upmc Inc | Non-Pharmacy Dispensing Site | 3535 Pine Ave, Ste 1, Erie, PA 16504-1743 | 2012-02-06 |
| Find all providers in ERIE | ||||
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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.