MILLCREEK COMMUNITY HOSPITAL (NPI# 1952935892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952935892 |
| Entity Type | Organization |
| Organization Name | MILLCREEK COMMUNITY HOSPITAL |
| Practice Address |
5401 Peach St Ste 3300 Erie PA 16509-2601 |
| Mailing Address |
5515 Peach St Erie PA 16509-2603 |
| Practice Telephone | 8148687840 |
| Practice Fax Number | 8148682139 |
| Mailing Telephone | 8148644031 |
| Mailing Fax Number | 8148687770 |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2020-03-01 |
| 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 | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219022 | Millcreek Community Hospital | Internal Medicine | 5535 Peach St Fl 1, Erie, PA 16509-2603 | 2020-03-06 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MILLCREEK COMMUNITY HOSPITAL | 5515 Peach St, Erie, PA 16509-2603 |
| Street Address |
5401 PEACH ST STE 3300 |
| City | ERIE |
| State | PA |
| Zip Code | 16509-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376639104 | Luxmi Gahlot | Anesthesiology | 5401 Peach St Ste 3300, Erie, PA 16509-2601 | 2006-10-05 |
| 1912179623 | Wendy Louise Whetzel | Physician Assistant | 5401 Peach St Ste 3300, Erie, PA 16509-2601 | 2008-04-02 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1275782617 | James Edward Mraz | Orthopaedic Surgery | 204 West 26th St, Erie, PA 16508 | 2008-09-10 |
| 1205890407 | Thomas J Fessler | Orthopaedic Surgery | 100 Peach Street, Suite 400, Erie, PA 16507 | 2006-04-14 |
| 1194789396 | Mark S Buseck | Orthopaedic Surgery | 2315 Myrtle St Ste L10, Erie, PA 16502-4611 | 2006-04-14 |
| 1225031149 | David M Babins | Orthopaedic Surgery | 300 State St, Ste 400a, Erie, PA 16507-1427 | 2005-05-24 |
| 1093718926 | Gary J Cortina | Orthopaedic Surgery | 300 State St Fl 4, Erie, PA 16507-1427 | 2005-05-24 |
| 1376546358 | Nick Stefanovski | Orthopaedic Surgery | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2005-05-24 |
| 1811514805 | Michael Driscoll | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1952927949 | Alec David Grossman | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-25 |
| 1417573973 | Stepan Shumyak | Orthopaedic Surgery | 5515 Peach St, Erie, PA 16509-2603 | 2020-06-21 |
| 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.