Active NPI
Edward E. Janus, D.O.,P.C.
- Interventional Cardiology Physician
- Erie, PA
National Provider Identifier
1104940501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- OS0003666L
- Legal business name
- EDWARD E. JANUS, D.O.,P.C.
- Practice address
- 3123 W 12TH St
3C
Erie, PA 16505-3848 - Phone
- (814) 836-9478
- Fax
- (814) 836-8570
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward E Janus, D.O.
- Title
- Owner
- Phone
- (814) 836-9478
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS0003666L | PA | |
| Internal Medicine Physician | 207R00000X | OS003666L | PA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | OS003666L | PA | |
| Gastroenterology Physician | 207RG0100X | OS0003666L | PA | |
| Interventional Cardiology Physician | 207RI0011X | OS0003666L | PA | Primary |
Addresses
Primary practice location
3123 W 12TH St
3C
Erie, PA 16505-3848
Mailing address
3123 W 12TH St
3C
Erie, PA 16505-3848
Phone (814) 836-9478
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 961448 | Other | PA | HIGHMARK |
| 049547 | Other | PA | HIGHMARK |
| 64972 | Medicaid | PA | |
| 10929269 | Other | PA | UNITED HEALTHCARE |
| 185772 | Medicaid | PA | |
| 155828 | Other | PA | HEALTHAMERICA |
| 0006234380003 | Medicaid | PA | |
| 0006234380005 | Medicaid | PA | |
| 585502 | Other | PA | AETNA |
National Provider Directory
National Provider DirectoryLocations
3123 W 12th St
Ste C
Erie, PA 16505
3123 W 12th St
#3C
Erie, PA 16505
Phone (814) 836-9478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104940501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3123 W 12TH ST",
"address_2": "3C",
"city": "ERIE",
"state": "PA",
"postal_code": "165053848",
"telephone_number": "814-836-9478",
"fax_number": "814-836-8570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3123 W 12TH ST",
"address_2": "3C",
"city": "ERIE",
"state": "PA",
"postal_code": "165053848",
"telephone_number": "814-836-9478",
"fax_number": "814-836-8570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD E. JANUS, D.O.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "JANUS",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-836-9478",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "OS0003666L",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS003666L",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "PA",
"license": "OS003666L",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "OS0003666L",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "PA",
"license": "OS0003666L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "961448",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "049547",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64972",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "10929269",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185772",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA",
"identifier": "155828",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006234380003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006234380005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "585502",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.