Provider Type Icon

MEDICAL ASSOCIATES OF ERIE NPI 1447419536


NPI Information

NPI: 1447419536
Provider Name: MEDICAL ASSOCIATES OF ERIE

Doing Business As: SPORTS MEDICINE AND INTEGRATIVE CARE

Classification: Preventive Medicine - 2083S0010X
Entity Type: Organization

Specialization: Sports Medicine

Address:
5515 PEACH ST
ERIE, PA
ZIP 16509
Phone: (814) 864-4031
Get Directions

MEDICAL ASSOCIATES OF ERIE is a sports medicine preventive medicine in Erie, PA. The provider is a preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. MEDICAL ASSOCIATES OF ERIE NPI is 1447419536. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sports Medicine And Integrative Care.

The provider's business location address is:

5515 PEACH ST
ERIE, PA
ZIP 16509-603
Phone: (814) 864-4031

The provider's authorized official is Dennis Styn .
The authorized official title is President and has the following contact phone number (814) 528-9709.

The enumeration date for this NPI number is 6/4/2008 and was last updated on 6/4/2008.


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
12083S0010XPreventive MedicineSports MedicineYes

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
1096315MEDICARE PINPENNSYLVANIA
2101066458MEDICAIDPENNSYLVANIA

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

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.