NPIMap

Organization Active NPI

Regional Health Services, Inc.

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1053578740
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REGIONAL HEALTH SERVICES, INC.
Practice address
333 State Street
Suite 204
Erie, PA 16507-1466
Phone
(814) 877-5295
Fax
(814) 877-5299
NPI assigned
May 20, 2008
Organization subpart
Yes
Parent organization
REGIONAL HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
David Gibbons
Title
President
Phone
(814) 877-7591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

333 State Street
Suite 204
Erie, PA 16507-1466

Mailing address

333 State Street
Suite 204
Erie, PA 16507-1466
Phone (814) 877-5295

Other names 1

  • Bay Harbor Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John R Pyles79 organizations share this tax ID, including this one
Part of
John R Pyles

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

333 State St
Ste 204
Erie, PA 16507
Phone (814) 454-8886

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1053578740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 STATE STREET",
            "address_2": "SUITE 204",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071466",
            "telephone_number": "814-877-5295",
            "fax_number": "814-877-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 STATE STREET",
            "address_2": "SUITE 204",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071466",
            "telephone_number": "814-877-5295",
            "fax_number": "814-877-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL HEALTH SERVICES, INC.",
        "enumeration_date": "2008-05-20",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-877-7591"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Harbor Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 30, 2013; 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.