DR. KELLY K. DUGAN (NPI# 1710170543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710170543 |
| Entity Type | Individual |
| Full Name | DR. KELLY K. DUGAN |
| Credential | DO |
| Practice Address |
201 State Street Erie PA 16550-0002 |
| Practice Telephone | 8148774922 |
| Practice Fax Number | 8148773622 |
| Mailing Telephone | 8148774922 |
| Mailing Fax Number | 8148773622 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2013-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | OS014814 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528580065 | Kelly Dugan | Nurse Practitioner | 2850 S Wabash Ave Ste 106, Chicago, IL 60616-2491 | 2017-07-15 |
| 1528531365 | Kelly Dugan | Pharmacist | 1725 W Harrison St Ste 104, Chicago, IL 60612-3832 | 2019-01-04 |
| Street Address |
201 STATE STREET |
| City | ERIE |
| State | PA |
| Zip Code | 16550-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903253 | Mahmoud I Ismail | Internal Medicine | 201 State Street, Hamot Faculty Specialists, Erie, PA 16550-0002 | 2005-06-22 |
| 1063032233 | Anthony Robert Unger | Student in an Organized Health Care Education/Training Program | 201 State Street, Erie, PA 16550 | 2020-04-17 |
| 1245869494 | Michael Knoll | Student in an Organized Health Care Education/Training Program | 201 State Street, Erie, PA 16550 | 2020-04-08 |
| 1326525502 | Leonardo Zingg | Student in an Organized Health Care Education/Training Program | 201 State Street, Erie, PA 16550 | 2018-07-20 |
| 1700332434 | Erica S Racedo | Physician Assistant | 201 State Street, Erie, PA 16550 | 2016-09-01 |
| 1780046953 | Katelyn Fuller | Registered Nurse | 201 State Street, Erie, PA 16550 | 2016-03-25 |
| 1982016663 | Vanessa Alia Emdadi Banks | Emergency Medicine | 201 State Street, Upmc Hamot, Erie, PA 16550 | 2014-05-29 |
| 1114289600 | Eric Robert Wildauer | Anesthesiology | 201 State Street, Hamot Medical Center, Erie, PA 16550 | 2012-06-12 |
| 1508185760 | Levi Colter Black | Nurse Anesthetist, Certified Registered | 201 State Street, Erie, PA 16550 | 2010-05-26 |
| 1588981724 | Janet Elaine Friedman | Nurse Anesthetist, Certified Registered | 201 State Street, Erie, PA 16550 | 2010-04-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208070 | Jackson Joseph Bell | Student in an Organized Health Care Education/Training Program | Upmc Hamot, 201 State Street, Erie, PA 16550 | 2019-04-10 |
| 1023505005 | Carter Mccance Denne | Student in an Organized Health Care Education/Training Program | Upmc Hamot 201 State Street, Erie, PA 16550 | 2018-04-16 |
| 1790771087 | Claire A Huebner | Nurse Anesthetist, Certified Registered | Upmc Hamot Medical Center 201 State St, Erie, PA 16550 | 2005-09-22 |
| 1679065106 | Jacob Tuttle | Nurse Anesthetist, Certified Registered | 201 State St, Erie, PA 16550 | 2018-05-31 |
| 1851882385 | Osvaldo Luis Martinez | Student in an Organized Health Care Education/Training Program | 201 State St, Erie, PA 16550 | 2018-05-21 |
| 1003306945 | Shannon R Folga | Registered Nurse | 201 State St, Erie, PA 16550 | 2018-05-16 |
| 1982194809 | Sara Elizabeth Wojciechowski | Registered Nurse | 201 State St, Erie, PA 16550 | 2018-05-16 |
| 1639610991 | Casey Seizys | Emergency Medicine | 201 State St, Erie, PA 16550 | 2017-03-19 |
| 1902281934 | Durga Sindhuri Dandu | Internal Medicine | 201 State St, Erie, PA 16550 | 2015-07-20 |
| 1942698097 | Yujin Zhao | Nurse Anesthetist, Certified Registered | 201 State St, Hamot Medical Center, Erie, PA 16550 | 2014-12-23 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932621307 | Mitchell Meagher | Internal Medicine | 5515 Peach St., Attn: Medical Education, Erie, PA 16509 | 2017-07-07 |
| 1295084085 | Michael David Mccafferty | Internal Medicine | 5332 Rome Court Drive, 301, Erie, PA 16509 | 2012-09-07 |
| 1124323076 | Portercare Adventist Health System | Internal Medicine | 611 Mitchell Way Ste 103, Erie, CO 80516-5443 | 2011-01-24 |
| 1629235361 | Regional Health Services, Inc. | Internal Medicine | 406 Peach Street, Erie, PA 16507-1417 | 2008-05-20 |
| 1851490577 | Jose Luis Boggio | Internal Medicine | 903 Long Point Dr, Erie, PA 16505-5417 | 2006-09-21 |
| 1649372319 | Rajesh Govindasamy | Internal Medicine | 300 State St Ste 207, Erie, PA 16507-1429 | 2006-09-02 |
| 1134232564 | Norman E Bussell | Internal Medicine | 104 East Second Street, 5th Floor Consultants In Infectious Diseases, Erie, PA 16507 | 2006-08-17 |
| 1235152406 | Bharathi S Voora I | Internal Medicine | 2005 W 8th St, Suite 200, Erie, PA 16505-4759 | 2006-07-26 |
| 1649205816 | Medical Associates of Erie | Internal Medicine | 1 Lecom Pl, Erie, PA 16505-2571 | 2006-07-12 |
| 1427081595 | Glenwood Internal Medicine, LLP | Internal Medicine | 213 East 41st St., Erie, PA 16504 | 2006-07-09 |
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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.