Osteopathic Internal Medicine

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

OS003106L Issued in PA

Legal business name

OSTEOPATHIC INTERNAL MEDICINE

Doing business as

Plaza 38 Medical Center

Practice address

2010 W 38TH St
1
Erie, PA 16508-2004

Phone

(814) 868-5481

NPI assigned

May 21, 2012

Last updated

Oct 25, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX INCAs reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP Ops

Phone

(858) 964-1508

Specialties & licenses 1

Addresses

Other names 1

• PLAZA 38 MEDICAL CENTER Doing business as

Part of

Medvantx Inc

Locations

Practitioners 1

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.

• John M Ferretti, DO

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1477518777
  NPD (past)

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1073873303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W 38TH ST",
            "address_2": "1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082004",
            "telephone_number": "814-868-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOPATHIC INTERNAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX INC",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OPS",
        "authorized_official_telephone_number": "858-964-1508"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "OS003106L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLAZA 38 MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annamarie Osiecki, PT, DPT
• Constance M Osiecki, PC
• Baltazar A Osorio, PA
• Osteopathic Cardiology Associates
• Osteopathic Cardiology Associates, LLC
• Osteopathic Internal Medicine Associates Inc.
• Osteopathic Medical &Surgical Associates (Alan N. Esper)
• Melinda Kaye Ostermann, BA
• Chuma G Osuji, DO
• Frances Jean Otto, MSW

• Non-Pharmacy Dispensing Site in Erie, PA
• Providers in Erie, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.