Individual provider Active NPI

Natalie L. Laniewicz, D.O.

  • Family Medicine Physician
  • Edinboro, PA
National Provider Identifier
1023326592
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS015456 Issued in PA
Practice address
419 Waterford St
Edinboro, PA 16412-5517
Phone
(814) 734-5021
Fax
(814) 734-1433
NPI assigned
Sep 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X OS015456 PA
Family Medicine Physician 207Q00000X OS015456 PA Primary

Addresses

Primary practice location

419 Waterford St
Edinboro, PA 16412-5517

Mailing address

419 Waterford St
Edinboro, PA 16412-5517
Phone (814) 734-5021

Other identifiers 4

IdentifierTypeStateIssuer
OS015456OtherPAUNRESTRICTED PA LICENSE
1026896650002MedicaidPA
OTO12722OtherPAD.O. TRAINING LICENSE
237182D7AOtherPAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120409000498 PA Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5193986743 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Jan 25, 2017 Accepting new patients
Theoria Medical CurrentSince Jul 19, 2024 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
HCF of Edinboro, Inc. Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

419 Waterford St
Edinboro, PA 16412
Phone (814) 734-5021

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

682 Pleasant Dr
Warren, PA 16365
Phone (814) 723-7060

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1023326592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 WATERFORD ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164125517",
            "telephone_number": "814-734-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 WATERFORD ST",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164125517",
            "telephone_number": "814-734-5021",
            "fax_number": "814-734-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIEWICZ",
        "first_name": "NATALIE",
        "middle_name": "L.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-18",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "PA",
            "license": "OS015456",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNRESTRICTED PA LICENSE",
            "identifier": "OS015456",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026896650002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.O. TRAINING LICENSE",
            "identifier": "OTO12722",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "237182D7A",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinboro, PA

Sources for this page

Verify at the official NPI Registry.