PHILIP M ST JULIEN (NPI# 1841580750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841580750 |
| Entity Type | Individual |
| Full Name | PHILIP M ST JULIEN |
| Credential | D.O. |
| Practice Address |
4247 W Ridge Rd Ste 105 Erie PA 16506-1746 |
| Practice Telephone | 8148382468 |
| Mailing Telephone | 8148382468 |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | OS015788 | PA | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
OS015788 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
4247 W RIDGE RD STE 105 |
| City | ERIE |
| State | PA |
| Zip Code | 16506-1746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346577 | Paul J Gausman | Family Medicine | 4247 W Ridge Rd Ste 105, Erie, PA 16506-1746 | 2005-12-13 |
| 1235695511 | Maggie Ho | Nurse Practitioner | 4247 W Ridge Rd Ste 105, Erie, PA 16506-1746 | 2019-02-12 |
| 1871935965 | Theresa Mullan Vey | Physician Assistant | 4247 W Ridge Rd Ste 105, Erie, PA 16506-1746 | 2013-07-18 |
| 1396006607 | Lydia Angelique Travnik | Family Medicine | 4247 W Ridge Rd Ste 105, Erie, PA 16506-1746 | 2012-06-04 |
| 1134411051 | Divya Koradia | Family Medicine | 4247 W Ridge Rd Ste 105, Erie, PA 16506-1746 | 2011-05-11 |
| 1386943983 | Natalie Michelle Grow | Dietitian, Registered | 4247 W Ridge Rd Ste 105, Erie, PA 16506-1746 | 2011-03-22 |
| 1760416275 | Nicolette C Walsh | Family Medicine | 4247 W Ridge Rd Ste 105, Erie, PA 16506 | 2006-07-10 |
| 1508800459 | Jillian Halmi | Family Medicine | 4247 W Ridge Rd Ste 105, Erie, PA 16506-1746 | 2006-06-15 |
| 1558311092 | Jeffrey D. Kim | Family Medicine | 4247 W Ridge Rd Ste 105, Erie, PA 16506-1746 | 2006-05-12 |
| 1558349787 | Anne Marie Zomcik | Pediatrics | 4247 W Ridge Rd Ste 105, Erie, PA 16506-1746 | 2006-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| 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.