PRESQUE ISLE FAMILY MEDICINE (NPI# 1679628408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679628408 |
| Entity Type | Organization |
| Organization Name | PRESQUE ISLE FAMILY MEDICINE |
| Practice Address |
2556 W 12th St Erie PA 16505-4508 |
| Practice Telephone | 8148369209 |
| Mailing Telephone | 8148369209 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | DAVID C LESSESKI (MEDICAL DOCTOR) |
| Authorized Official Telephone | 8148369209 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS007417L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012476390006 | 05 | |
| PA | BLUE CROSS BLUE SHIELD | 645037 | 01 |
| PA | PALMETTO GBA | 0800122783 | 01 |
| Street Address |
2556 W 12TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16505-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316019698 | Craig C Costello | Chiropractor | 2556 W 12th St, Erie, PA 16505-4508 | 2006-11-14 |
| 1184819062 | Jared J. Scott, D.c., P.C. | Chiropractor | 2556 W 12th St, Erie, PA 16505-4508 | 2007-09-13 |
| 1801096649 | Jared J Scott | Chiropractor | 2556 W 12th St, Erie, PA 16505-4508 | 2007-07-19 |
| 1619007390 | Craig Costello Dc Inc | Chiropractor | 2556 W 12th St, Erie, PA 16505-4508 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638642 | Tom Root Miller II | Family Medicine | 35 Niagara Pier, Erie, PA 16507-2312 | 2020-01-22 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1528422870 | Jessica Jean Partlow | Family Medicine | 311 W 24th St Fl 4, Erie, PA 16502-2665 | 2016-04-12 |
| 1407253859 | Dr Natalie Teygart PC | Family Medicine | 939 West 38th St, Erie, PA 16508 | 2014-12-01 |
| 1114350808 | Bruce W Baldwin | Family Medicine | 5704 Brewster Ln, Erie, PA 16505-1110 | 2013-08-16 |
| 1477994689 | Joshua Yates Taylor | Family Medicine | 101 Erie Pkwy, Ste 201c, Erie, CO 80516-4072 | 2013-07-16 |
| 1629413257 | Amina Yasser | Family Medicine | 2314 Sassafras St Fl 2, Erie, PA 16502-2722 | 2013-05-09 |
| 1811258122 | Sandy Tapuyao Clemente | Family Medicine | 3822 Colonial Ave Ste C, Erie, PA 16506-3826 | 2012-06-04 |
| 1730470204 | Thomas Leo Obenreder | Family Medicine | 3232 Hannon Rd, Erie, PA 16510-4450 | 2011-05-02 |
| 1417247123 | Medical Associates of Erie | Family Medicine | 3435 W Lake Rd, Erie, PA 16505-3661 | 2011-04-14 |
| 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.