BAYFRONT DIGESTIVE DISEASE ASSOCIATES PC NPI 1295772861

NPI Information

  • NPI: 1295772861
  • Provider Name: BAYFRONT DIGESTIVE DISEASE ASSOCIATES PC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Other Name: BAYFRONT DIGESTIVE DISEASE
  • Address: 100 PEACH ST
    SUITE 200
    ERIE, PA
    ZIP 16507
  • Phone: (814) 456-7733

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NPI Details

BAYFRONT DIGESTIVE DISEASE ASSOCIATES PC is a gastroenterology internal medicine in Erie, PA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. BAYFRONT DIGESTIVE DISEASE ASSOCIATES PC NPI is 1295772861. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Bayfront Digestive Disease.

The provider's business location address is:

100 PEACH ST
SUITE 200
ERIE, PA
ZIP 16507-411
Phone: (814) 456-7733
Fax: (814) 456-7213

The provider's authorized official is Tina M Casillo .
The authorized official title is Practice Administrator and has the following contact phone number (814) 456-7733.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 11/13/2009.

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 Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyPENNSYLVANIAYes

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 Other Provider Identifier Issuer
1185348MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAPA MEDICARE GROUP NUMBER
2110013049MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIARAILROAD MEDICARE GROUP #
30010182600013MEDICAIDPENNSYLVANIA
40609354MEDICAIDOHIO
57901151MEDICARE ID-TYPE UNSPECIFIEDOHIOOH MEDICARE GROUP NUMBER
6B185348OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD GRP

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: 11/21/2025

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