EASTSIDE MEDICAL CENTER NPI 1992926786

NPI Information

NPI: 1992926786
Provider Name: EASTSIDE MEDICAL CENTER

Other Name: MEDICAL ASSOCIATES OF ERIE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2625 PARADE ST
ERIE, PA
ZIP 16504
Phone: (814) 452-6382
Get Directions

EASTSIDE MEDICAL CENTER 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. EASTSIDE MEDICAL CENTER NPI is 1992926786. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Medical Associates Of Erie.

The provider's business location address is:

2625 PARADE ST
ERIE, PA
ZIP 16504-809
Phone: (814) 452-6382

The provider's authorized official is Dennis Styn .
The authorized official title is President and has the following contact phone number (814) 866-8468.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 11/7/2007.

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 Code	Taxonomy Clasification	Primary
1	208000000X	Pediatrics	No
2	208600000X	Surgery	No
3	208M00000X	Hospitalist	No
4	207X00000X	Orthopaedic Surgery	No
5	207V00000X	Obstetrics & Gynecology	No
6	207W00000X	Ophthalmology	No
7	207R00000X	Internal Medicine	No
8	207Q00000X	Family Medicine	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	041755	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
2	096315	MEDICARE PIN	PENNSYLVANIA
3	0007045720001	MEDICAID	PENNSYLVANIA

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: 4/28/2024

NPI Synchronization or Removal

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