SAINT VINCENT MEDICAL EDUCATION AND (NPI# 1447392691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447392691 |
| Entity Type | Organization |
| Organization Name | SAINT VINCENT MEDICAL EDUCATION AND |
| Other Organization Name | LIBERTY FAMILY PRACTICE |
| Practice Address |
3413 Cherry St Erie PA 16508-2678 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 8148689828 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2013-04-30 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD050885L | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Liberty Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174827059 | Saint Vincent Medical Education And | Non-Pharmacy Dispensing Site | 5165 Imperial Pkwy, Girard, PA 16417-9523 | 2011-01-06 |
| 1487963526 | Saint Vincent Medical Education And | Non-Pharmacy Dispensing Site | 4950 Buffalo Rd, Erie, PA 16510-2304 | 2010-10-06 |
| 1487963534 | Saint Vincent Medical Education And | Non-Pharmacy Dispensing Site | 2240 E 38th St, Erie, PA 16510-3688 | 2010-10-06 |
| 1932242880 | Saint Vincent Medical Education And | Non-Pharmacy Dispensing Site | 450 Erie St, Edinboro, PA 16412-2200 | 2007-02-14 |
| Street Address |
3413 CHERRY ST |
| City | ERIE |
| State | PA |
| Zip Code | 16508-2678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494411 | Frederick John Dudenhoefer | Allergy & Immunology | 3413 Cherry St, Erie, PA 16508-2678 | 2005-08-12 |
| 1356814321 | Sarah Ann Patsy | Physician Assistant | 3413 Cherry St, Erie, PA 16508-2678 | 2019-01-02 |
| 1124362595 | Amy Louise Hamilton | Counselor | 3413 Cherry St, Erie, PA 16508-2678 | 2012-11-24 |
| 1548594393 | Saint Vincent Medical Education and Research Institute Inc | Family Medicine | 3413 Cherry St, Erie, PA 16508-2678 | 2009-09-28 |
| 1982784658 | Saint Vincent Medical Education and Research Institute | Internal Medicine | 3413 Cherry St, Erie, PA 16508-2678 | 2006-10-17 |
| 1164498762 | Linda L Young | Family Medicine | 3413 Cherry St, Erie, PA 16508-2678 | 2006-02-24 |
| 1508832395 | Deborah A Ranish | Family Medicine | 3413 Cherry St, Erie, PA 16508-2678 | 2006-02-23 |
| 1336124247 | Bradley P Fox | Family Medicine | 3413 Cherry St, Erie, PA 16508-2678 | 2005-12-13 |
| 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.