Dennis M Scully, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD017266E Issued in PA

Legal business name

DENNIS M SCULLY, MD

Practice address

3822 Schaper Ave
Erie, PA 16508-3344

Phone

(814) 868-0943

Fax

(814) 866-1160

NPI assigned

Mar 8, 2007

Last updated

Dec 15, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dennis M Scully, M.D.NPI 1346200680

Title

Physician

Phone

(814) 868-0943

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dennis M Scully, MD

  • Family Medicine Physician
  • Erie, PA
  • NPI 1346200680
  Authorized official Same address or phone
• Theresa Vickey, FNP

  • Nurse Practitioner
  • Concord, NC
  • NPI 1851351019
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1013048503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 SCHAPER AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165083344",
            "telephone_number": "814-868-0943",
            "fax_number": "814-866-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 SCHAPER AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165083344",
            "telephone_number": "814-868-0943",
            "fax_number": "814-866-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS M SCULLY, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "SCULLY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "814-868-0943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD017266E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Demjanenko, MD
• Jason Paul Den Haese Jr., DO, MS
• Denise M. Nowacinski
• Carter McCance Denne, D.O
• Claire Denne, SLP
• David Dennis, MS, ATC
• Peter Dennis, DDS
• Baron Takayuki Denniston, M.D.
• Sean Dent
• Dental Arts of Erie

• Family Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.