MEDICAL ASSOCIATES OF ERIE (NPI# 1447419536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447419536 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATES OF ERIE |
| Other Organization Name | SPORTS MEDICINE AND INTEGRATIVE CARE |
| Practice Address |
5515 Peach St Erie PA 16509-2603 |
| Mailing Address |
1 Lecom Pl Erie PA 16505-2571 |
| Practice Telephone | 8148644031 |
| Mailing Telephone | 8145289709 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |
| Authorized Official Name | DENNIS STYN (PRESIDENT) |
| Authorized Official Telephone | 8145289709 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101066458 | 05 |
| Other Name | Type Code |
|---|---|
| Sports Medicine and Integrative Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795931 | Medical Associates of Erie | Internal Medicine | 5401 Peach St Ste 3100, Erie, PA 16509-2601 | 2020-09-22 |
| 1790318988 | Medical Associates of Erie | Psychiatry & Neurology | 4740 Peach St, Erie, PA 16509-2008 | 2020-02-17 |
| 1235405085 | Medical Associates of Erie | Obstetrics & Gynecology | 75 W Columbus Ave, Corry, PA 16407-1135 | 2012-03-27 |
| 1417247123 | Medical Associates of Erie | Family Medicine | 3435 W Lake Rd, Erie, PA 16505-3661 | 2011-04-14 |
| 1700020021 | Medical Associates of Erie | Internal Medicine | 5401 Peach Street - 3rd Floor, Lecom Health & Wellness Center Specialty Suites, Erie, PA 16509-2601 | 2009-04-30 |
| 1871761155 | Medical Associates of Erie | Family Medicine | 206 West Plum Street, Edinboro, PA 16412-2121 | 2008-02-20 |
| 1215055769 | Medical Associates of Erie | Family Medicine | 4234 Buffalo Rd, Erie, PA 16510-2112 | 2007-03-26 |
| 1366560815 | Medical Associates of Erie | Family Medicine | 7686 West Ridge Rd, Fairview, PA 16415 | 2007-03-26 |
| 1649205816 | Medical Associates of Erie | Internal Medicine | 1 Lecom Pl, Erie, PA 16505-2571 | 2006-07-12 |
| 1881228229 | Medical Associates of Erie | Family Medicine | 404 E 8th St, Erie, PA 16503-1204 | 2020-02-25 |
| Street Address |
5515 PEACH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548263973 | Millcreek Community Hospital | General Acute Care Hospital | 5515 Peach St, Erie, PA 16509-2603 | 2005-05-31 |
| 1942814546 | Zeinab Altaher | Pharmacist | 5515 Peach St, Erie, PA 16509-2603 | 2020-09-02 |
| 1669086161 | Mikayla Erin Matheny | Pharmacist | 5515 Peach St, Erie, PA 16509-2695 | 2020-09-02 |
| 1467065615 | Ashley Diane Crandall | Pharmacist | 5515 Peach St, Erie, PA 16509-2603 | 2020-08-27 |
| 1538787221 | Lex Herwen Barte I | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-07-08 |
| 1831717826 | Usman Ahmed | Internal Medicine | 5515 Peach St, Erie, PA 16509-2603 | 2020-07-07 |
| 1871110700 | Peter Vincent Finelli | Family Medicine | 5515 Peach St, Erie, PA 16509-2695 | 2020-06-26 |
| 1376160366 | Leng Xiong | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1811514805 | Michael Driscoll | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1750908745 | Morgan Michele Gallo | Podiatrist | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598243073 | Austin Dudenhoefer | Physical Therapist | 8270 Peach St Ste 400, Erie, PA 16509 | 2018-08-06 |
| 1770092884 | Latasha Marie Phillips | Social Worker | 5100 Peach Street, Erie, PA 16509 | 2017-09-21 |
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1760903702 | Tricia Lee Cubitt | Social Worker | 4756 Springview Drive, Apartment 310, Erie, PA 16509 | 2017-06-29 |
| 1790191617 | Ashley Russell | Physical Therapy Assistant | 1267 South Hill Road, Erie, PA 16509 | 2014-07-11 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1427303619 | Michelle Mary Dillaene Tobin | Social Worker | 828 W. Gore Road, Erie, PA 16509 | 2012-07-13 |
| 1962761411 | Moshood B Martins | Dentist | 7040 Peach Street, Erie, PA 16509 | 2012-05-03 |
| 1770854549 | Peach Street Dental & Dentures, PC. | Dentist | 7040 Peach St, Erie, PA 16509 | 2012-01-25 |
| 1881989515 | Richard R Sambuchino | Dentist | 4944 Peach Street, Erie, PA 16509 | 2011-06-10 |
| Find all providers in zip 16509 | ||||
| Taxonomy Code | 2083S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Sports Medicine |
| A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628086 | Janele Allison Wolbert | Preventive Medicine | 434 Montpelier Ave, Erie, PA 16505-1523 | 2019-09-18 |
| 1316594674 | Kayleigh Wagner | Preventive Medicine | 501 W 12th St, Erie, PA 16501-1536 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871008490 | Diane Boyce | Preventive Medicine | Bucknell University, Moore Ave., Klarc Gym, Lewisburg, PA 17837-1783 | 2017-12-05 |
| 1700302858 | Daniel S Hensley | Preventive Medicine | 201 Grampian Blvd, Williamsport, PA 17701-1813 | 2017-08-21 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1952318859 | Tracy William Ross | Preventive Medicine | South 4th Street, Denver, PA 17517-0800 | 2006-08-02 |
| 1043275928 | Joseph Michael Borysowski | Preventive Medicine | 717 E High St, Pottstown, PA 19464-5770 | 2006-04-20 |
| 1760021158 | Kyle Fisher | Preventive Medicine | 101 N College Ave, Annville, PA 17003-1404 | 2020-01-02 |
| 1568027050 | Aubrie Ann Stouffer | Preventive Medicine | 801 Ostrum St, Fountain Hill, PA 18015-1000 | 2019-05-09 |
| 1780158121 | Larissa J Roberts | Preventive Medicine | 410 Pellis Rd, Greensburg, PA 15601-4700 | 2019-01-18 |
| 1528015591 | John Charles Green | Preventive Medicine | 1601 S Queen St, York, PA 17403-4630 | 2006-05-27 |
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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.