ERIE PHYSICIANS NETWORK- UPMC INC (NPI# 1629340609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629340609 |
| Entity Type | Organization |
| Organization Name | ERIE PHYSICIANS NETWORK- UPMC INC |
| Other Organization Name | PINECREST FAMILY PRACTICE (PINE AVENUE) |
| Practice Address |
3535 Pine Ave Ste 1 Erie PA 16504-1743 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 8144543363 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2013-05-23 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| 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 | OS005969L | PA | Suppliers |
| Other Name | Type Code |
|---|---|
| Pinecrest Family Practice (Pine Avenue) | Doing Business As Name - Organization |
| Street Address |
3535 PINE AVE STE 1 |
| City | ERIE |
| State | PA |
| Zip Code | 16504-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412732 | Philip Mark Cacchione | Emergency Medicine | 3535 Pine Ave, 2nd Floor, Erie, PA 16504-1743 | 2005-07-26 |
| 1164774238 | Kristan L Chilcott | Physician Assistant | 3535 Pine Ave, Erie, PA 16504-1743 | 2012-10-12 |
| 1518286483 | James A Gade | Family Medicine | 3535 Pine Ave, Erie, PA 16504-1743 | 2010-05-18 |
| 1215080908 | Erie Physicians Network, PC | Clinic/Center | 3535 Pine Ave, 1st Floor, Erie, PA 16504-1743 | 2007-01-18 |
| 1902844574 | Erie Physicians Network PC | Clinic/Center | 3535 Pine Ave, 1st Floor, Erie, PA 16504-1743 | 2006-06-03 |
| 1679537138 | Craig T Johnston | Family Medicine | 3535 Pine Ave, 1st Floor, Erie, PA 16504-1743 | 2006-04-13 |
| 1992769483 | Robert W Geiger | Family Medicine | 3535 Pine Ave, Erie, PA 16504-1743 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306187638 | Stephanie Jo Hohos-mahoney | Speech-Language Pathologist | 135 East 38 Street, Erie, PA 16504 | 2013-03-12 |
| 1154541225 | Bonni Burke | Dental Hygienist | 135 East 38th St., Erie, PA 16504 | 2007-04-30 |
| 1881775278 | Sarah T Goebel | Social Worker | Erie Dept. of Veteran Affairs Medical Center, 135 East 38th St., Erie, PA 16504 | 2006-10-18 |
| 1386742971 | Michael Paul Fitzgerald | Physician Assistant | 135 East 38 Th, Erie, PA 16504 | 2006-09-20 |
| 1285647917 | Michele L Harrington | Audiologist | 135 E 38th St., Erie, PA 16504 | 2006-08-14 |
| 1427081595 | Glenwood Internal Medicine, LLP | Internal Medicine | 213 East 41st St., Erie, PA 16504 | 2006-07-09 |
| 1679502744 | Angela Palys Lindemuth | Psychiatry & Neurology | 135 East 38th St, Dept of Veteran Affairs Medical Center, Erie, PA 16504 | 2006-07-01 |
| 1992748081 | Paula Christine Bauda | Nurse Practitioner | 135 East 38th Street, Erie, PA 16504 | 2006-06-14 |
| 1487605267 | Kimberly Ann Thompson | Internal Medicine | 213 East 41st St, Erie, PA 16504 | 2006-05-15 |
| 1053701508 | Bomber Ferraro II | Counselor | 135 East 38th St, Erie, PA 16504 | 2015-02-04 |
| Find all providers in zip 16504 | ||||
| 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 |
| 1902175748 | Regional Health Services Inc. | Non-Pharmacy Dispensing Site | 300 State St, 103a, Erie, PA 16507-1427 | 2011-12-23 |
| 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.