Pennsylvania Western University

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

PENNSYLVANIA WESTERN UNIVERSITY

Practice address

1008 S 5TH Ave
Clarion, PA 16214-8676

Phone

(814) 297-8220

Fax

(814) 297-8381

NPI assigned

Mar 18, 2025

Last updated

Aug 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Rae Kundick

Title

Fiscal Technician

Phone

(814) 297-8220

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

California University of Pennsylvania3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• California University of Pennsylvania

  • Health Service Clinic/Center
  • California, PA
  • NPI 1003168162
  NPD tax ID
• California University of Pennsylvania

  • Clinic/Center
  • California, PA
  • NPI 1588909220
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zahida Bhatti, MD

  • Infectious Disease Physician
  • Erie, PA
  • NPI 1932208584
  Medicare reassignment Care Compare group NPD
• Jill Marie Fuller, MSN, CNP

  • Family Nurse Practitioner
  • Erie, PA
  • NPI 1033223631
  Medicare reassignment Care Compare group NPD
• Carol Felisa Encarnacion, M.D., M.P.H.

  • Infectious Disease Physician
  • Meadville, PA
  • NPI 1407844319
  Medicare reassignment NPD
• Elias Shattahi, M.D.

  • Infectious Disease Physician
  • Pittsburgh, PA
  • NPI 1245495605
  Medicare reassignment NPD

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1033919097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 S 5TH AVE",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148676",
            "telephone_number": "814-297-8220",
            "fax_number": "814-297-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 S 5TH AVE",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162148676",
            "telephone_number": "814-297-8220",
            "fax_number": "814-297-8381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 State St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165011363",
            "country_code": "US",
            "telephone_number": "814-454-3811",
            "fax_number": "814-454-3422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENNSYLVANIA WESTERN UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "KUNDICK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "FISCAL TECHNICIAN",
        "authorized_official_telephone_number": "814-297-8220"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Pasquarette, CRNP
• Carmen Danielle Pastor, MS, LAT, ATC
• Peace Dental Associates
• Penn Traffic Co (Bilo Foods and Pharmacy 9207)
• Pennsylvania CVS Pharmacy, L.L.C.
• Anie G Perard, M.D.
• Matthew James Peters, LMSW
• Phoenix Rehabilitation and Health Services, Inc.
• Marah Pierce, LCSW
• Pinnacle Health Services LLC (Butler Rehabilitation Centers)

• Infectious Disease Physician in Clarion, PA
• Providers in Clarion, PA by specialty
• Infectious Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.