Individual provider Active NPI

Sarah Elizabeth Achenbach, M.D.

  • Obstetrics & Gynecology Physician
  • Erie, PA
National Provider Identifier
1053528406
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD439076 Issued in PA
Practice address
100 Peach St
Suite 300
Erie, PA 16507-1423
Phone
(814) 459-1851
NPI assigned
May 16, 2007
Last updated
Jan 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD439076 PA Primary

Addresses

Primary practice location

100 Peach St
Suite 300
Erie, PA 16507-1423

Mailing address

100 Peach St
Suite 300
Erie, PA 16507-1423
Phone (814) 459-1851

Other identifiers 1

IdentifierTypeStateIssuer
1024764790001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100916000490 PA Practitioner - Obstetrics/Gynecology 9739204587 Reassigns benefits to 1 organization
I20221012003387 OH Practitioner - Obstetrics/Gynecology 9739204587

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Ohio State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Associates of Erie, PCGroup PAC ID 9133028616, 60 clinicians

Practice addresses (Care Compare)

708 N Shady Retreat Rd
Suite 7
Doylestown, PA 18901-2503
Phone (215) 340-2229

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Associates of Erie, PC Obstetrics & Gynecology CurrentSince Aug 2, 2010 Accepting new patients
OB GYN Associates of Erie Laboratory LLC Current Accepting new patients
Upmc Hamot Past Accepting new patients
Saint Vincent Health Center Past Accepting new patients

Locations

524 W 24th St
Ashtabula, OH 44004
Phone (440) 496-6500

708 N Shady Retreat Rd
Ste 7
Doylestown, PA 18901
Phone (215) 340-2229

100 Peach St
Ste 300
Erie, PA 16507
Phone (814) 459-1851

2315 Myrtle St
Ste 220
Erie, PA 16502
Phone (814) 454-8185

Interoperability endpoints

  • Direct secure messaging: sarah.achenbach.1@28732.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Saint Vincent Medical GroupCorry, PA, CCN 393889 Rural health clinic Corporate Officer Oct 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1053528406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PEACH ST",
            "address_2": "SUITE 300",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "814-459-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEACH ST",
            "address_2": "SUITE 300",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "814-459-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHENBACH",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD439076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024764790001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.