Erie Sleep & Wellness Center, LLC

Primary specialty

Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X

Legal business name

ERIE SLEEP & WELLNESS CENTER, LLC

Practice address

240 W 11TH St
Suite 301
Erie, PA 16501-1758

Phone

(814) 455-1500

Fax

(814) 455-3109

NPI assigned

Jul 11, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Thomas C McWilliams

Title

Ceo

Phone

(814) 455-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1003070871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W 11TH ST",
            "address_2": "SUITE 301",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011758",
            "telephone_number": "814-455-1500",
            "fax_number": "814-455-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W 11TH ST",
            "address_2": "SUITE 301",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011758",
            "telephone_number": "814-455-1500",
            "fax_number": "814-455-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE SLEEP & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-455-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102289832 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erie Physicians Network, PC
• Erie Psychiatric Associates, LLC
• Erie Retina Research LLC
• Erie Retinal Surgery, Inc.
• Erie School District
• Erie Sleep Management LLC
• Erie Sleep Treatment LLC
• Erie SNF Operations LLC
• Erie Spine & Pain Center PC
• Erie Spine & Sport LLC

• Otolaryngology Physician in Erie, PA
• Providers in Erie, PA by specialty
• Otolaryngology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.