Provider Type Icon

SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE NPI 1104906874


NPI Information

NPI: 1104906874
Provider Name: SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE

Doing Business As: SAINT VINCENT SURGICAL ONCOLOGY

Classification: Surgery - 2086X0206X
Entity Type: Organization

Specialization: Surgical Oncology

Address:
145 W 23RD ST
SUITE 202
ERIE, PA
ZIP 16502
Phone: (814) 451-8008
Get Directions

SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE is a surgical oncology surgery in Erie, PA. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE NPI is 1104906874. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Saint Vincent Surgical Oncology.

The provider's business location address is:

145 W 23RD ST
SUITE 202
ERIE, PA
ZIP 16502-858
Phone: (814) 451-8008
Fax: (814) 456-1528

The provider's authorized official is Dana Boatman .
The authorized official title is Executive Director and has the following contact phone number (814) 452-5264.

The enumeration date for this NPI number is 10/17/2006 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
12086X0206XSurgerySurgical OncologyYes

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
11007725200053MEDICAIDPENNSYLVANIA

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.