Jean M Storm, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS012160 Issued in PA

Practice address

5535 Peach St
Erie, PA 16509-2603

Phone

(814) 868-3488

Fax

(814) 868-3499

NPI assigned

Apr 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Alignmed Partners, PC

  dba GPS Physician Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  WV

  Medicare reassignment NPD
• Erie Physicians Network PC

  • Multi-Specialty Clinic/Center
  • Erie, PA
  • NPI 1902844574
  NPD (past)
• St. Mary's Medical Management Highlawn Lab

  • Clinical Medical Laboratory
  • Huntington, WV
  • NPI 1831378504
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1033172762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "address_2": "5 E ALVON ROAD STE. 7",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249862373",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603",
            "telephone_number": "814-868-3488",
            "fax_number": "814-868-3499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 Willow Tree Way",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "WV",
            "postal_code": "255261085",
            "country_code": "US",
            "telephone_number": "304-397-3002",
            "fax_number": "304-397-3007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STORM",
        "first_name": "JEAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS012160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Guy Stone, M.D.
• Jordan Elizabeth Stone, MSW
• Kaylee Stone, MS, LAPC, NCC, CADC
• Laura C Stone, CRNP
• Heidi Storer
• Carla Marie Storrs, LCSW
• Marsha Ann Stover, PHARMD
• Hunter Strait
• David Strasser
• Jeffrey F Strasser, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.