JASON D CRILLEY (NPI# 1437148418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437148418 |
| Entity Type | Individual |
| Full Name | JASON D CRILLEY |
| Credential | DPM |
| Practice Address |
145 W 23rd St Suite 302a Erie PA 16502-2858 |
| Mailing Address |
145 W 23rd St Ste 302a Erie PA 16502-2858 |
| Practice Telephone | 8148353751 |
| Practice Fax Number | 8148353755 |
| Mailing Telephone | 8148353751 |
| Mailing Fax Number | 8148353755 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2020-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | SC005554 | PA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
145 W 23RD ST SUITE 302A |
| City | ERIE |
| State | PA |
| Zip Code | 16502-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699286716 | Kaitlyn Sabo | Physician Assistant | 145 W 23rd St, Erie, PA 16502-2858 | 2017-10-16 |
| 1699130989 | Victoria Barko | Dietitian, Registered | 145 W 23rd St, Ste 302a, Erie, PA 16502-2858 | 2015-12-31 |
| 1588029276 | Saint Vincent Medical Education and Research Institute | Dietitian, Registered | 145 W 23rd St, Suite 302a, Erie, PA 16502-2858 | 2015-12-22 |
| 1821419813 | Saint Vincent Diabetes Resource Outpatient Nutrition Center | General Acute Care Hospital | 145 W 23rd St, Suite 302, Erie, PA 16544-0002 | 2013-12-18 |
| 1942540141 | Linda M Johnson | Nurse Practitioner | 145 W 23rd St, Suite 201, Erie, PA 16502-2858 | 2013-02-25 |
| 1326316266 | Kathleen Ann Scutella | Nurse Practitioner | 145 W 23rd St, Suite 303, Erie, PA 16502-2858 | 2011-12-07 |
| 1053696997 | Lake Erie Medical Group PC | Family Medicine | 145 W 23rd St, Suite 202, Erie, PA 16502-2858 | 2011-10-11 |
| 1114201431 | Saint Vincent Medical Education and Research Institute | Surgery | 145 W 23rd St, Suite 303, Erie, PA 16502-2858 | 2011-10-05 |
| 1043535453 | Christopher R Serafini | Family Medicine | 145 W 23rd St, Suite 101, Erie, PA 16502-2806 | 2010-03-30 |
| 1194049288 | St Vincent Medical Education and Research Institute Inc | Colon & Rectal Surgery | 145 W 23rd St, Suite 201, Erie, PA 16502-2858 | 2010-03-18 |
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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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674462 | Difranco Family Foot Care LLC | Podiatrist | 4044 Sandalwood Dr, Erie, PA 16506-4764 | 2020-09-16 |
| 1225240187 | Barbara Lynn Lockwood | Podiatrist | 938 Powell Ave., Erie, PA 16505 | 2007-05-04 |
| 1710031646 | Stanley Bogusz | Podiatrist | 938 Powell Ave, Erie, PA 16505-3439 | 2007-01-22 |
| 1740246701 | Stephen M Wieczorek | Podiatrist | 3263 Pine Ave, Erie, PA 16504-1159 | 2006-04-26 |
| 1063404937 | Frederick J Tomassi | Podiatrist | 3901 Liberty St, Erie, PA 16509-1621 | 2005-08-17 |
| 1750908745 | Morgan Michele Gallo | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1982243432 | Kevin Douglas Liberty | Podiatrist | 5515 Peach St, Erie, PA 16509-2695 | 2020-01-02 |
| 1942707062 | Wanna Stephanie Jean Mary | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2018-04-06 |
| 1023490919 | Dr. Stanley Bogusz, Dpm, LLC | Podiatrist | 938 Powell Ave, Erie, PA 16505-3439 | 2015-06-26 |
| 1295141356 | Laura Ann Richards | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2014-07-09 |
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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.