Provider Type Icon

EDWARD E. JANUS D.O.P.C. NPI 1104940501


NPI Information

NPI: 1104940501
Provider Name: EDWARD E. JANUS, D.O.,P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3123 W 12TH ST
3C
ERIE, PA
ZIP 16505
Phone: (814) 836-9478
Get Directions

EDWARD E. JANUS, D.O.,P.C. is a family medicine in Erie, PA. The provider is 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. EDWARD E. JANUS, D.O.,P.C. NPI is 1104940501. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3123 W 12TH ST
3C
ERIE, PA
ZIP 16505-848
Phone: (814) 836-9478
Fax: (814) 836-8570

The provider's authorized official is Edward E Janus .
The authorized official title is Owner and has the following contact phone number (814) 836-9478.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineOS0003666LPENNSYLVANIAYes
2207R00000XInternal MedicineOS003666LPENNSYLVANIAX
3207RC0200XInternal MedicineCritical Care MedicineOS003666LPENNSYLVANIAX
4207RG0100XInternal MedicineGastroenterologyOS0003666LPENNSYLVANIAX
5207RI0011XInternal MedicineInterventional CardiologyOS0003666LPENNSYLVANIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10006234380005MEDICAIDPENNSYLVANIA
20006234380003MEDICAIDPENNSYLVANIA
3049547OTHERPENNSYLVANIAHIGHMARK
4585502OTHERPENNSYLVANIAAETNA
5155828OTHERPENNSYLVANIAHEALTHAMERICA
6185772MEDICAIDPENNSYLVANIA
764972MEDICAIDPENNSYLVANIA
8961448OTHERPENNSYLVANIAHIGHMARK
910929269OTHERPENNSYLVANIAUNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.