360 Medical Group Pennsylvania PC
Organization Active NPI Family Medicine Physician · Erie, PA
NPI 1033043856 · NPPES record last updated Jun 9, 2026
Key facts
- NPI
- 1033043856
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- 360 MEDICAL GROUP PENNSYLVANIA PC
- Practice address
- 502 W 7TH St Ste 100
Erie, PA 16502-1333 - Phone
- (215) 326-1602
- NPI assigned
- Jun 9, 2026
- Organization subpart
- No
Authorized official
- Name
- James Villar
- Title
- Administrator
- Phone
- (773) 645-1192
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
502 W 7TH St Ste 100
Erie, PA 16502-1333
Mailing address
502 W 7TH St Ste 100
Erie, PA 16502-1333
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.