MILLCREEK COMMUNITY HOSPITAL (NPI# 1780219022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780219022 |
| Entity Type | Organization |
| Organization Name | MILLCREEK COMMUNITY HOSPITAL |
| Practice Address |
5535 Peach St Fl 1 Erie PA 16509-2603 |
| Mailing Address |
5515 Peach St Erie PA 16509-2603 |
| Practice Telephone | 8148683488 |
| Mailing Telephone | 8148644031 |
| Mailing Fax Number | 8148687770 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-09-19 |
| Authorized Official Name | MICHAEL HELLER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8148687758 |
| Is Organization Subpart | Y |
| Parent Organization Name | MILLCREEK COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174158737 | Millcreek Community Hospital | Family Medicine | 5401 Peach St Ste 3400, Erie, PA 16509-2601 | 2020-03-04 |
| 1548263973 | Millcreek Community Hospital | General Acute Care Hospital | 5515 Peach St, Erie, PA 16509-2603 | 2005-05-31 |
| 1619598638 | Millcreek Community Hospital | Obstetrics & Gynecology | 5401 Peach St Ste 3100, Erie, PA 16509-2601 | 2020-04-30 |
| 1568097939 | Millcreek Community Hospital | Family Medicine | 537 W 18th St, Erie, PA 16502-1722 | 2020-03-06 |
| 1245865583 | Millcreek Community Hospital | Neuromusculoskeletal Medicine & OMM | 5401 Peach St Ste 3500, Erie, PA 16509-2601 | 2020-03-06 |
| 1578198941 | Millcreek Community Hospital | Family Medicine | 2625 Parade St, Erie, PA 16504-2809 | 2020-03-06 |
| 1245865815 | Millcreek Community Hospital | Psychiatry & Neurology | 4740 Peach St, Erie, PA 16509-2008 | 2020-03-04 |
| 1871128447 | Millcreek Community Hospital | Urology | 5401 Peach St Ste 3600, Erie, PA 16509-2601 | 2020-03-04 |
| 1164057840 | Millcreek Community Hospital | Neuromusculoskeletal Medicine & OMM | 5637 Peach St, Erie, PA 16509-2605 | 2020-03-03 |
| 1952935892 | Millcreek Community Hospital | Pain Medicine | 5401 Peach St Ste 3300, Erie, PA 16509-2601 | 2020-03-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MILLCREEK COMMUNITY HOSPITAL | 5515 Peach St, Erie, PA 16509-2603 |
| Street Address |
5535 PEACH ST FL 1 |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2603 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1730795931 | Medical Associates of Erie | Internal Medicine | 5401 Peach St Ste 3100, Erie, PA 16509-2601 | 2020-09-22 |
| 1700020021 | Medical Associates of Erie | Internal Medicine | 5401 Peach Street - 3rd Floor, Lecom Health & Wellness Center Specialty Suites, Erie, PA 16509-2601 | 2009-04-30 |
| 1093887200 | Maribelle Gauna-estrada | Internal Medicine | 213 E 41st St, Erie, PA 16504-2009 | 2006-11-14 |
| 1508840190 | Dorothy Candib | Internal Medicine | 2314 Sassafras St, Suite 200, Erie, PA 16502-2722 | 2005-12-06 |
| 1497827885 | Ishwer L Bharwani | Internal Medicine | 201 State St, Erie, PA 16550-0002 | 2006-11-14 |
| 1780764456 | Saint Vincent Medical Education and Research Institute | Internal Medicine | 2314 Sassafras St, Suite 200, Erie, PA 16502-2722 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578192514 | Telemed Solutions of Nj PC | Internal Medicine | 2100 Wharton St Ste 510, Pittsburgh, PA 15203-1691 | 2020-04-02 |
| 1316453558 | Arva Medical Specialties, PC | Internal Medicine | 7790 Easton Rd, Ottsville, PA 18942-1765 | 2017-12-26 |
| 1174953210 | Humberto Guerra-garcia | Internal Medicine | 2055 White Horse Rd, Berwyn, PA 19312-2127 | 2013-11-26 |
| 1912249061 | Christopher Hwang | Internal Medicine | 100 W Sproul Rd Ste 221, Springfield, PA 19064-2033 | 2013-03-26 |
| 1801160544 | Rhonda Lea Lahue-mordy | Internal Medicine | 901 Parkes Run Ln, Villanova, PA 19085-1126 | 2012-02-27 |
| 1437421088 | Internal Medicine and Geriatric of Lancaster County LLC | Internal Medicine | 1222 Cameron Dr, Manheim, PA 17545-8688 | 2012-01-29 |
| 1013225903 | Langhorne Physician Services | Internal Medicine | 1205 Langhrn Nwtwn Rd Ste 102, Langhorne, PA 19047-1220 | 2010-09-14 |
| 1386973592 | Richard Huskey Md Dmn Pak LLC | Internal Medicine | 1214 Line St, Ste B, Sunbury, PA 17801-1677 | 2009-12-17 |
| 1669709390 | Angelo John Lucco | Internal Medicine | 210 Mount Nebo Rd, East Stroudsburg, PA 18301-9237 | 2009-11-18 |
| 1992947972 | Lauren Marie Massaro | Internal Medicine | 20 Shelbourne Rd, Reading, PA 19606-3675 | 2009-04-06 |
| 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.