Individual provider Active NPI

Philip H Symes, MD

  • Medical Oncology Physician
  • Erie, PA
National Provider Identifier
1033115464
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD047660 Issued in PA
Practice address
2508 Myrtle St Ste 200
Erie, PA 16502-2700
Phone
(814) 452-7822
Fax
(814) 452-7824
NPI assigned
Jun 21, 2005
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X MD047660 PA Primary

Addresses

Primary practice location

2508 Myrtle St Ste 200
Erie, PA 16502-2700

Mailing address

247 Morewood Ave
Pittsburgh, PA 15213-1861
Phone (412) 622-0290

Other identifiers 6

IdentifierTypeStateIssuer
01386561MedicaidNY
000000114600OtherOHANTHEM BC/BS
0905435MedicaidOH
0013069180001MedicaidPA
0159OtherPABLUE CROSS
SY402389OtherPAHIGHMARK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address psymes148957@direct.ahn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD047660PAMDMedical Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1033115464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 MOREWOOD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131861",
            "telephone_number": "412-622-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 MYRTLE ST STE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022700",
            "telephone_number": "814-452-7822",
            "fax_number": "814-452-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMES",
        "first_name": "PHILIP",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "PA",
            "license": "MD047660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01386561",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000114600",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0905435",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013069180001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0159",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "SY402389",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psymes148957@direct.ahn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2508 Myrtle St Ste 200",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165022700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.