MR. JULIO MANUEL OSSORIO HENRIQUEZ (NPI# 1942315635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942315635 |
Entity Type | Individual |
Full Name | MR. JULIO MANUEL OSSORIO HENRIQUEZ |
Credential | MD |
Practice Address |
5401 Peach St Suite 3600 Erie PA 16509-2601 |
Mailing Address |
1 Lecom Pl Erie PA 16505-2571 |
Practice Telephone | 8148682170 |
Practice Fax Number | 8148682108 |
Mailing Fax Number | 8148682522 |
Enumeration Date | 2006-08-20 |
Last Update Date | 2017-02-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208800000X | Urology | 93-350 | NM | Allopathic & Osteopathic Physicians |
Y | 208800000X | Urology | MD460044 | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 000F2802 | 05 |
Street Address |
5401 PEACH ST SUITE 3600 |
City | ERIE |
State | PA |
Zip Code | 16509-2601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558362277 | Patrick Francis Leary | Family Medicine | 5401 Peach St, Suite 3400, Erie, PA 16509-2601 | 2005-08-03 |
1043570443 | Medical Associates of Erie Inc. | Non-Pharmacy Dispensing Site | 5401 Peach St, 3rd Floor, Erie, PA 16509-2601 | 2012-05-21 |
1962779447 | Marguerite Evanoff-jurkovic | Neuromusculoskeletal Medicine & OMM | 5401 Peach St, Suite 3500, Erie, PA 16509-2601 | 2011-11-28 |
1174844310 | Christopher Rial | Family Medicine | 5401 Peach St, Suite 3400, Erie, PA 16509-2601 | 2010-06-22 |
1144459728 | Jason E Lee | Podiatrist | 5401 Peach St, Suite 3600, Erie, PA 16509-2601 | 2009-07-05 |
1063677524 | Garrett Clark | Internal Medicine | 5401 Peach St, Suite 3500, Erie, PA 16509-2601 | 2008-07-24 |
1326242785 | Jan T Hendryx | Neuromusculoskeletal Medicine & OMM | 5401 Peach St, Suite 3500, Erie, PA 16509-2601 | 2007-06-12 |
1568583326 | Blake Anne-elizabeth Hoppe | Psychiatry & Neurology | 5401 Peach St, Suite 3600, Erie, PA 16509-2601 | 2007-04-02 |
1861539504 | Yvonne Theresa Hoogland | Internal Medicine | 5401 Peach St, Suite 3400, Erie, PA 16509-2601 | 2007-01-31 |
1285703058 | Ruel L Taylor | Urology | 5401 Peach St, Suite 3600, Erie, PA 16509-2601 | 2006-11-07 |
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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 |
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Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043477334 | Lori Mae Dulabon | Urology | 5401 Peach St Ste 3600, Erie, PA 16509-2601 | 2008-05-22 |
1922031285 | Floyd M Csir | Urology | 311 West 24th St, Suite 101, Erie, PA 16502-2665 | 2006-07-09 |
1396778551 | Zdzislaw J Chorazy | Urology | 311 West 24th Street, Suite 101, Erie, PA 16502-2665 | 2006-07-09 |
1528026986 | Burkhardt H Zorn | Urology | 311 W 24th St Ste 101, Erie, PA 16502-2668 | 2006-05-03 |
1255325775 | Thomas Francis Walsh | Urology | 100 Peach St Ste 102, Erie, PA 16507-1423 | 2005-09-12 |
1295730695 | Justine Marut Schober | Urology | 300 State St Ste 301b, Erie, PA 16507-1430 | 2005-06-14 |
1871128447 | Millcreek Community Hospital | Urology | 5401 Peach St Ste 3600, Erie, PA 16509-2601 | 2020-03-04 |
1801288170 | Roy Scott Cooper | Urology | 100 Peach St Ste 102, Erie, PA 16507-1423 | 2015-02-24 |
1497094551 | Saint Vincent Medical Education and Research Institute | Urology | 311 W 24th St, Suite 101, Erie, PA 16502-2665 | 2013-02-11 |
1366768087 | Michael J Miller | Urology | 100 Peach St Ste 102, Erie, PA 16507-1423 | 2010-04-20 |
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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.