DOUGLAS PONTZER (NPI# 1801052147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801052147 |
| Entity Type | Individual |
| Full Name | DOUGLAS PONTZER |
| Credential | PC |
| Practice Address |
5100 Peach St Erie PA 16509-2482 |
| Practice Telephone | 8148664506 |
| Practice Fax Number | 8148664612 |
| Mailing Telephone | 8148664506 |
| Mailing Fax Number | 8148664612 |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC001222 | PA | Behavioral Health & Social Service Providers |
| Street Address |
5100 PEACH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083613863 | Lynn Marie Rupp | Physical Therapist | 5100 Peach St, Erie, PA 16509-2482 | 2005-07-14 |
| 1740722057 | Shannon Brown | Counselor | 5100 Peach St, Erie, PA 16509-2482 | 2016-11-17 |
| 1316234057 | Jane Morell | Counselor | 5100 Peach St, Erie, PA 16509-2482 | 2011-07-01 |
| 1922302769 | Diane Shafer | Counselor | 5100 Peach St, Erie, PA 16509-2482 | 2011-01-10 |
| 1518268960 | Bobbi Jo Vaughn | Social Worker | 5100 Peach St, Erie, PA 16509-2482 | 2010-11-16 |
| 1750605283 | Tara Durkin | Social Worker | 5100 Peach St, Erie, PA 16509-2482 | 2010-03-26 |
| 1407003460 | Valerie Mininger | Social Worker | 5100 Peach St, Erie, PA 16509-2482 | 2008-08-21 |
| 1073774824 | Ann Muczynski | Social Worker | 5100 Peach St, Erie, PA 16509-2482 | 2008-06-24 |
| 1407026180 | Kathleen Weislogel | Social Worker | 5100 Peach St, Erie, PA 16509-2482 | 2008-03-10 |
| 1053505974 | Antoinette Louise Baker-mulford | Social Worker | 5100 Peach St, Erie, PA 16509 | 2007-09-04 |
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| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508771 | Nicole Boyer | Counselor | 5117 W Lake Rd, Erie, PA 16505-2925 | 2020-11-06 |
| 1730793464 | Lauren Ashley Lippert | Counselor | 1813 Holland St, Erie, PA 16503-1809 | 2020-09-01 |
| 1639782212 | Andrew Kenneth Kohl | Counselor | 3117 Colonial Ave, Erie, PA 16506-1836 | 2020-08-25 |
| 1710500897 | Wendy J Mcdonald | Counselor | 5228 Annendale Dr, Erie, PA 16506-4650 | 2020-05-22 |
| 1649806381 | Krista L Stearns | Counselor | 2919 State St, Erie, PA 16508-1831 | 2020-03-13 |
| 1750920146 | Ashley Yatzor | Counselor | 2222 Filmore Ave Ste 502, Erie, PA 16506-2984 | 2020-01-02 |
| 1003452293 | Sharece Necole Campbell | Counselor | 525 Shenley Dr, Erie, PA 16505-2233 | 2019-11-21 |
| 1255974267 | Jordan Elizabeth Burns | Counselor | 3227 Highland Rd, Erie, PA 16506-3557 | 2019-10-22 |
| 1518518075 | Emily Mckay | Counselor | 366 Montgomery Dr, Erie, CO 80516-8478 | 2019-09-26 |
| 1275184962 | Elizabeth Grace Bricker | Counselor | 252 Locust St, Erie, PA 16508-2971 | 2019-09-24 |
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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.