Organization Active NPI

Saint Vincent Surgery Center of Erie

  • Ambulatory Surgical Clinic/Center
  • Erie, PA
National Provider Identifier
1124210687
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
4561500 Issued in PA
Legal business name
SAINT VINCENT SURGERY CENTER OF ERIE
Practice address
312 W 25TH St
Erie, PA 16502-2624
Phone
(814) 452-7010
Fax
(814) 452-7059
NPI assigned
Aug 17, 2007
Last updated
Aug 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Mr. Thomas Elliott
Title
Ceo
Phone
(814) 452-7753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 4561500 PA Primary

Addresses

Primary practice location

312 W 25TH St
Erie, PA 16502-2624

Mailing address

312 W 25TH St
Erie, PA 16502-2624
Phone (814) 452-7010

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0980089Saint Vincent Surgery Center of Erie312 W 25TH Street, Erie, PA 16502Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1124210687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W 25TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022624",
            "telephone_number": "814-452-7010",
            "fax_number": "814-452-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W 25TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022624",
            "telephone_number": "814-452-7010",
            "fax_number": "814-452-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT VINCENT SURGERY CENTER OF ERIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-452-7753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "4561500",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.