Saint Vincent Medical Education and Researach Institute

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAINT VINCENT MEDICAL EDUCATION AND RESEARACH INSTITUTE

Practice address

238 W 22ND St
Erie, PA 16502-2674

Phone

(814) 452-0158

Fax

(814) 452-8114

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Patricia Ballman

Title

Executive Director

Phone

(814) 452-5296

Specialties & licenses 1

Addresses

Other names 1

• Hillside Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St Vincent Medical Education and Research Institute Inc

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1902881477

  O20031104000576

  Same enrollment

Practitioners 3

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

• Tracy L Agnew, CRNP

  • Nurse Practitioner
  • Erie, PA
  • NPI 1306821715
  NPD (past)
• Kathleen Marie Erb, MD

  • Surgery Physician
  • Pittsburgh, PA
  • NPI 1285634717
  NPD (past)
• Paul J Gmuer, MD

  • Gastroenterology Physician
  • Erie, PA
  • NPI 1861471302
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1104911031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 PEACH ST",
            "address_2": "SUITE LL1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082768",
            "telephone_number": "814-860-5036",
            "fax_number": "814-860-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 W 22ND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022674",
            "telephone_number": "814-452-0158",
            "fax_number": "814-452-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT VINCENT MEDICAL EDUCATION AND RESEARACH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "BALLMAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-452-5296"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saint Vincent Medical Education & Research Institute
• Saint Vincent Medical Education & Research Institute
• Saint Vincent Medical Education and
• Saint Vincent Medical Education and
• Saint Vincent Medical Education and
• Saint Vincent Medical Education and Research Inst
• Saint Vincent Medical Education and Research Inst. Inc
• Saint Vincent Medical Education and Research Inst. Inc
• Saint Vincent Medical Education and Research Inst. Inc.
• Saint Vincent Medical Education and Research Inst. Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.