Robert Haverly (NPI# 1821080722, PAC ID# 6002999703) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1821080722 |
| PAC ID by PECOS | 6002999703 |
| Professional Enrollment ID | I20100826001199 |
| Full Name | Robert Haverly |
| Organization Legal Name | LASER EYE SURGERY OF ERIE, INC |
| Address |
311 W 24th St Suite 401 Erie PA 16502-2667 |
| Phone Number | 8144457591 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1951352244 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390009 | SAINT VINCENT HOSPITAL |
| 330166 | WESTFIELD MEMORIAL HOSPITAL, INC |
| 390063 | UPMC HAMOT HOSPITAL |
| 330239 | UPMC CHAUTAUQUA WCA |
| 390146 | WARREN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 311 W 24th St, Suite 401, Erie, PA 16502-2667 | 8144457591 | LASER EYE SURGERY OF ERIE, INC |
| 193 E Main St, Westfield, NY 14787-1104 | 7163264845 | LASER EYE SURGERY OF ERIE, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LASER EYE SURGERY OF ERIE, INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruben Kuruvilla | Ophthalmology | Laser Eye Surgery of Erie, Inc | 193 E Main St, Westfield, NY 14787-1104 |
| Martin B Simmons | Optometry | Laser Eye Surgery of Erie, Inc | 311 W 24th St, Suite 401, Erie, PA 16502-2667 |
| Street Address |
311 W 24TH ST SUITE 401 |
| City | ERIE |
| State | PA |
| Zip | 16502-2667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlin S Clark | Family Medicine | St Vincent Medical Education and Research Institute Inc | 311 W 24th St, Suite 305, Erie, PA 16502-2665 |
| Christopher Clark | Family Medicine | St Vincent Medical Education and Research Institute Inc | 311 W 24th St, Suite 305, Erie, PA 16502-2665 |
| Scott Caldwell | Nurse Practitioner | St Vincent Medical Education and Research Institute Inc | 311 W 24th St, 101 St Vincent Allied Urology, Erie, PA 16502-2665 |
| Dawn Karns | Family Medicine | St Vincent Medical Education and Research Institute Inc | 311 W 24th St, Suite 305, Erie, PA 16502-2665 |
| Goutham Vemana | Urology | St Vincent Medical Education and Research Institute Inc | 311 W 24th St, 101 St Vincent Allied Urology, Erie, PA 16502-2665 |
| Alexa Meyer | Clinical Social Worker | St Vincent Medical Education and Research Institute Inc | 311 W 24th St, Suite 305, Erie, PA 16502-2665 |
| Zdzislaw J Chorazy | Urology | St Vincent Medical Education and Research Institute Inc | 311 W 24th St, 101 St Vincent Allied Urology, Erie, PA 16502-2665 |
| Joseph M Difranco | Podiatry | St Vincent Medical Education and Research Institute Inc | 311 W 24th St, Suite 303 Saint Vincent Continuued Care Clinic, Erie, PA 16502-2665 |
| Peter S Lund | Urology | St Vincent Medical Education and Research Institute Inc | 311 W 24th St, 101 St Vincent Allied Urology, Erie, PA 16502-2665 |
| Laura J Mcintosh | Sports Medicine | St Vincent Medical Education and Research Institute Inc | 311 W 24th St, Suite 305, Erie, PA 16502-2665 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Curry | Clinical Social Worker | 329 W 10th St, Erie, PA 16502-1440 | |
| Dale A Allgeier | Clinical Social Worker | 301 W 10th St, Erie, PA 16502-1440 | |
| Douglas Bernard Grisier | Family Medicine | Medical Associates of Erie | 537 W 18th St, Erie, PA 16502-1722 |
| Belinda A Stillman | Psychiatry | Medical Associates of Erie | 537 W 18th St, Erie, PA 16502-1722 |
| Amanda L Madurski | Optometry | Medical Associates of Erie | 537 W 18th St, Erie, PA 16502-1722 |
| Kimberly Streiff | Nurse Practitioner | Dr. Gertrude A. Barber Center, Inc. | 1621 Sassafras St, Erie, PA 16502-1858 |
| Charles Perrotta Jr. | Psychiatry | Dr. Gertrude A. Barber Center, Inc. | 1621 Sassafras St, Erie, PA 16502-1858 |
| Mary Eileen Mcnamara | Psychiatry | Dr. Gertrude A. Barber Center, Inc. | 1621 Sassafras St, Erie, PA 16502-1858 |
| Rose Ann R Flick | Nurse Practitioner | Dr. Gertrude A. Barber Center, Inc. | 1621 Sassafras St, Erie, PA 16502-1858 |
| Kelly A Roberts | Clinical Social Worker | 2520 Hampton Rd, Erie, PA 16502-2073 | |
| Find all physicians in zip 16502 | |||
| City | ERIE |
| Zip Code | 16502 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | ERIE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Robert Haverly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.