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

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.

Title

Physician

Phone

(814) 868-0943

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008844520002",
            "state": "PA"
        }
    ],
    "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.