MAX W GOTTESMAN (NPI# 1548281918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548281918 |
| Entity Type | Individual |
| Full Name | MAX W GOTTESMAN |
| Credential | DO |
| Practice Address |
1910 Sassafras St Behavioral Health Unit Erie PA 16502-2716 |
| Practice Telephone | 8144525490 |
| Practice Fax Number | 8144527610 |
| Mailing Telephone | 8144525490 |
| Mailing Fax Number | 8144527610 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
OS008331L | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972581551 | Max D Gottesman | Optometrist | 6523 Telegraph Rd, Bloomfield Hills, MI 48301-3066 | 2006-01-04 |
| Street Address |
1910 SASSAFRAS ST BEHAVIORAL HEALTH UNIT |
| City | ERIE |
| State | PA |
| Zip Code | 16502-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401323 | Jason P Dudzic | Physical Therapist | 1910 Sassafras St, Suite 200, Erie, PA 16502-2716 | 2005-07-19 |
| 1750819363 | Sean Adam Christie | Physical Therapist | 1910 Sassafras St, Erie, PA 16502-2716 | 2017-05-25 |
| 1619401346 | Saint Vincent Medical Education and Research Inst. Inc. | Pain Medicine | 1910 Sassafras St, Suite 300, Erie, PA 16502-2716 | 2017-04-19 |
| 1629516844 | Saint Vincent Medical Education and Research Inst. Inc. | Dermatology | 1910 Sassafras St, Suite 300, Erie, PA 16502-2716 | 2017-02-08 |
| 1063886265 | Saint Vincent Medical Education and Research Institute Inc. | Family Medicine | 1910 Sassafras St, Suite 100, Erie, PA 16502-2716 | 2015-11-25 |
| 1104175660 | Melanie Elaine Glennon | Nurse Practitioner | 1910 Sassafras St, Suite 200, Erie, PA 16502-2716 | 2012-08-30 |
| 1033442660 | Saint Vincent Medical Education and Research Institute Inc | Counselor | 1910 Sassafras St, Suite 100, Erie, PA 16502-2716 | 2009-09-15 |
| 1760715395 | Saint Vincent Medical Educationand Reseach Institute Inc | Psychologist | 1910 Sassafras St, Suite 100, Erie, PA 16502-2716 | 2009-09-15 |
| 1396970380 | Mary W Moreland | Nurse Practitioner | 1910 Sassafras St, Suite 100, Erie, PA 16502-2716 | 2009-05-20 |
| 1649429986 | Melissa B Jorden | Pain Medicine | 1910 Sassafras St, Suite 301, Erie, PA 16502-2716 | 2008-09-11 |
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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 |
| Find all providers in zip 16502 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497107205 | David Figueroa | Psychiatry & Neurology | 4215 Ellsworth Ave, Erie, PA 16509-1054 | 2016-07-05 |
| 1891776993 | Kirstin Ellen Brunner | Psychiatry & Neurology | 1020 East 1oth Street, Erie, PA 16503-0002 | 2005-11-07 |
| 1245865815 | Millcreek Community Hospital | Psychiatry & Neurology | 4740 Peach St, Erie, PA 16509-2008 | 2020-03-04 |
| 1861025058 | Medical Associates of Erie | Psychiatry & Neurology | 537 W 18th St, Erie, PA 16502-1722 | 2020-02-17 |
| 1245742469 | Lake Erie Behavioral Health, LLC | Psychiatry & Neurology | 3216 State St, Erie, PA 16508 | 2017-10-27 |
| 1831502160 | Prianka Sinha | Psychiatry & Neurology | 5515 Peach St, Erie, PA 16509 | 2014-06-04 |
| 1174936504 | Gianpiero Martone | Psychiatry & Neurology | 5535 Peach St, Erie, PA 16509-2603 | 2014-06-03 |
| 1114217270 | Nichole Lee Sonderman | Psychiatry & Neurology | 900 State St, Suite 203b, Erie, PA 16501-1419 | 2011-04-11 |
| 1447279955 | Lihui Tang | Psychiatry & Neurology | 232 W 25th St # 3r, Erie, PA 16544-1601 | 2006-07-18 |
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|---|---|---|---|---|
| 1255932174 | Northeast Counseling Service | Psychiatry & Neurology | 85 S Old Turnpike Rd, Drums, PA 18222-1731 | 2020-11-06 |
| 1639770647 | Northeast Counseling Service | Psychiatry & Neurology | 275 Mill St, Hazleton, PA 18201-6701 | 2020-11-05 |
| 1225645518 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 723 Coal St, Easton, PA 18042-6556 | 2020-09-30 |
| 1093322380 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 990 Echo Trl, Easton, PA 18040-1014 | 2020-09-30 |
| 1720695141 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 429 Reeder St, Easton, PA 18042-1731 | 2020-09-29 |
| 1710594130 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1709 Richmond Rd, Easton, PA 18040-8435 | 2020-09-29 |
| 1528675345 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1315 Echo Trl, Easton, PA 18040-1019 | 2020-09-25 |
| 1164039996 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1243 Tatamy Rd, Easton, PA 18045-7405 | 2020-09-25 |
| 1578170304 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 1221 Northampton St, Easton, PA 18042-4138 | 2020-09-25 |
| 1336754951 | Evergreen Psychiatry LLC | Psychiatry & Neurology | 539 S Bolmar St, West Chester, PA 19382-4934 | 2020-09-10 |
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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.