DR. RICHARD D. DIBACCO (NPI# 1609849934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609849934 |
| Entity Type | Individual |
| Full Name | DR. RICHARD D. DIBACCO |
| Credential | DPM |
| Practice Address |
4402 Peach St Erie PA 16509-1358 |
| Practice Telephone | 8148644874 |
| Practice Fax Number | 8148644877 |
| Mailing Telephone | 8148644874 |
| Mailing Fax Number | 8148644877 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
SC001282L | PA | Podiatric Medicine & Surgery Service Providers |
| N | 213ER0200X |
Podiatrist Specialization: Radiology |
SC001282L | PA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC001282L | PA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
SC001282L | PA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 000501005-0001 | 05 |
| Street Address |
4402 PEACH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509-1358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164415766 | Womens Care Center of Erie County Inc | Obstetrics & Gynecology | 4402 Peach St, Ste 302, Erie, PA 16509-1358 | 2005-08-30 |
| 1972781433 | Sandra W Mead | Counselor | 4402 Peach St, Erie, PA 16509-1358 | 2008-02-07 |
| 1952423857 | Podiatry Associates of Erie Inc | Podiatrist | 4402 Peach St, Erie, PA 16509-1358 | 2007-04-04 |
| 1124149935 | Marilyn Livosky | Psychologist | 4402 Peach St, North Wing, Erie, PA 16509-1358 | 2007-04-02 |
| 1003947144 | William John Kowalski | Psychologist | 4402 Peach St, Suite 201 N, Erie, PA 16509-1358 | 2007-03-08 |
| 1093805418 | Anthony Gerard Bostaph | Psychologist | 4402 Peach St, Lower Level/ North, Erie, PA 16509-1358 | 2006-10-14 |
| 1023046117 | Thomas John Calabrese | Counselor | 4402 Peach St, Erie, PA 16509-1358 | 2006-06-29 |
| 1730161266 | Patricia Bruce | Social Worker | 4402 Peach St, Suite 2a, Erie, PA 16509-1358 | 2005-11-18 |
| 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 | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952423857 | Podiatry Associates of Erie Inc | Podiatrist | 4402 Peach St, Erie, PA 16509-1358 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245883008 | Varnel Noel | Podiatrist | 25 Merion Rd, Merion Station, PA 19066-1826 | 2019-07-22 |
| 1225697352 | Healthy Steps Podiatry Center, Pllc | Podiatrist | 431 E Chocolate Ave Ste 3, Hershey, PA 17033-1310 | 2019-06-12 |
| 1538646591 | Wyoming Valley Foot Associates P C | Podiatrist | 457 N Main St Ste 105, Pittston, PA 18640-2185 | 2018-07-23 |
| 1053651745 | Delta Foot and Ankle Center, LLC | Podiatrist | 247 N Broad Street Ext, Suite 204, Grove City, PA 16127 | 2013-02-18 |
| 1174824411 | Srmc Healthcare Group, LLC | Podiatrist | 236 Elm Drive, Suite 104, Waynesburg, PA 15370 | 2010-11-03 |
| 1790098036 | Valley Foot and Ankle Center | Podiatrist | 395 N Hermitage Rd, Hermitage, PA 16148-3373 | 2010-07-15 |
| 1841432358 | Pain Management Specialist and Associates | Podiatrist | 322 Mall Blvd., 172, Pittsburgh, PA 15146-2229 | 2009-03-30 |
| 1104087980 | Mari Elizabeth Wargo-dorsey | Podiatrist | 9218 Route 119 Hwy S, Blairsville, PA 15717-8849 | 2008-06-24 |
| 1619164415 | Greg T. Evans Dpm PC | Podiatrist | 908 Wyoming Ave Ste C, Wyoming, PA 18644-1300 | 2007-09-26 |
| 1720270663 | Barbara A Rosenberg | Podiatrist | 6341 Sylvester St, Philadelphia, PA 19149-2837 | 2007-08-14 |
| Find all providers with the same taxonomy | ||||
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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.