MILLCREEK MANOR NPI 1679252118

NPI Information

  • NPI: 1679252118
  • Provider Name: MILLCREEK MANOR
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Other Name: CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
  • Address: 5401 PEACH ST STE 3400
    ERIE, PA
    ZIP 16509
  • Phone: (814) 868-2200

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NPI Details

MILLCREEK MANOR is an internal medicine in Erie, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MILLCREEK MANOR NPI is 1679252118. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Clinical Practice Of Lecom Institute For Successful Living.

The provider's business location address is:

5401 PEACH ST STE 3400
ERIE, PA
ZIP 16509-601
Phone: (814) 868-2200

The provider's authorized official is Olivia J Topel .
The authorized official title is Cfo and has the following contact phone number (814) 881-5234.

The enumeration date for this NPI number is 7/12/2023 and was last updated on 10/4/2023.

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
1207Q00000XFamily MedicineNo
22086S0129XSurgeryVascular SurgeryNo
3213ES0103XPodiatristFoot & Ankle SurgeryNo
4207R00000XInternal MedicineYes

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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