PETER LUKASZ WILCZANSKI (NPI# 1700874146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700874146 |
| Entity Type | Individual |
| Full Name | PETER LUKASZ WILCZANSKI |
| Credential | MD |
| Practice Address |
5241 Buffalo Rd Lakeshore Family Practice Erie PA 16510-2309 |
| Mailing Address |
717 State St Suite 16 Erie PA 16501-1341 |
| Practice Telephone | 8148777686 |
| Practice Fax Number | 8148777692 |
| Mailing Telephone | 8144807100 |
| Mailing Fax Number | 8144807604 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2008-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD040751L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | GATEWAY | P000383 | 01 |
| NY | UNIVERA | 00025573901 | 01 |
| NY | NY MEDICAID | 01917019 | 01 |
| PA | UNISON | 66429 | 01 |
| PA | 0011180320003 | 05 | |
| PA | BLUE SHIELD | 015973 | 01 |
| PA | RR MEDICARE | 080081947 | 01 |
| PA | UPMC | 212709 | 01 |
| PA | AETNA | 522615 | 01 |
| Street Address |
5241 BUFFALO RD LAKESHORE FAMILY PRACTICE |
| City | ERIE |
| State | PA |
| Zip Code | 16510-2309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164199 | Cassie J Harrington | Family Medicine | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2005-06-20 |
| 1326511163 | Angela Marie Bootes | Nurse Practitioner | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2019-01-04 |
| 1730611633 | Meg K Peterson | Physician Assistant | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2017-03-30 |
| 1841731304 | Shawna Rae Ward | Nurse Practitioner | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2017-03-17 |
| 1114371473 | Deneen M Crosby | Nurse Practitioner | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2016-04-22 |
| 1144682527 | Ivan Charles Loker | Family Medicine | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2016-03-24 |
| 1265804546 | Kelly M Martin | Nurse Practitioner | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2015-10-26 |
| 1013327923 | Samantha M Swords | Family Medicine | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2014-04-30 |
| 1255686382 | Karen Ann Bengel | Physician Assistant | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2012-07-15 |
| 1134386543 | Regional Health Services, Inc. | Clinical Medical Laboratory | 5241 Buffalo Rd, Erie, PA 16510-2391 | 2008-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285115972 | Alexa Snyder | Occupational Therapist | 2544 Hope Dr Apt 1, Erie, PA 16510 | 2018-08-22 |
| 1538610977 | Valentine Ekule Ojong | Exclusive Provider Organization | 4173 Wood Hills Dr, Erie, PA 16510 | 2016-10-20 |
| 1295917177 | Kathy S Foltz | Nurse Practitioner | 1843 East 18th Street, Multicultural Health Evaluation Delivery Systems Inc, Erie, PA 16510 | 2007-12-03 |
| 1205910387 | Daryl Thomas Pierce | Dentist | 4626 Buffalo Road, Erie, PA 16510 | 2006-10-25 |
| 1326158155 | Robert Louis Baxter | Dentist | 3311 Buffalo Rd, Erie, PA 16510 | 2006-08-30 |
| 1518516897 | Helping Hands Angels LLC | Home Health | 1523 Prospect Ave, Erie, PA 16510-1041 | 2019-09-09 |
| 1932748357 | Global In-home Care LLC | Home Health | 2066 E 18th St, Erie, PA 16510-1118 | 2020-01-02 |
| 1699050526 | Judy Colleen Butler | Registered Nurse | 2068 E 20th St, Erie, PA 16510-1148 | 2011-10-11 |
| 1972779320 | Adrienne Michele Dixon-mccullum | Psychologist | 2513 Harrison St, Erie, PA 16510-1511 | 2008-05-06 |
| 1790768489 | Joseph Thomas Ropelewski | Social Worker | 2307 Bird Dr, Erie, PA 16510-1539 | 2005-11-28 |
| Find all providers in zip 16510 | ||||
| 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.