Active NPI
Emily M Scavella, PA-C
- Medical Physician Assistant
- Erie, PA
National Provider Identifier
1124278304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA053545
- Practice address
- 240 W 11TH St
2ND Floor
Erie, PA 16501-1758 - Phone
- (814) 452-2218
- Fax
- (814) 455-2925
- NPI assigned
- Sep 24, 2008
- Last updated
- Dec 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA053545 | PA | Primary |
Addresses
Primary practice location
240 W 11TH St
2ND Floor
Erie, PA 16501-1758
Mailing address
240 W 11TH St
2ND Floor
Erie, PA 16501-1758
Phone (814) 452-2218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00670434 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
240 W 11TH St
Erie, PA 16501-1702
Phone (814) 452-2218
240 W 11TH St
Suite 2
Erie, PA 16501-1758
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA053545 | PA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metabolic Disease Associates | Current | Accepting new patients | |
| Medicos, P.a. | Past | Accepting new patients |
Locations
240 W 11th St
Ste 2
Erie, PA 16501
Phone (814) 452-2218
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endocrinology, Diabetes & Metabolism Physician
- Erie, PA
- NPI 1639119142
-
- Medical Specialty Clinic/Center
- Erie, PA
- NPI 1588960934
-
- Internal Medicine Physician
- North Myrtle Beach, SC
- NPI 1548024540
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corry Memorial Hospital
- Critical Access Hospital
- Corry, PA
- NPI 1841268877
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
-
- General Acute Care Hospital
- Erie, PA
- NPI 1861435042
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Warren, PA
- NPI 1376497362
-
dba d/b/a Warren Medical Group
- Family Medicine Physician
- Warren, PA
- NPI 1508803701
Hospital
-
- General Acute Care Hospital
- Warren, PA
- NPI 1659360220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1124278304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 W 11TH ST",
"address_2": "2ND FLOOR",
"city": "ERIE",
"state": "PA",
"postal_code": "165011758",
"telephone_number": "814-452-2218",
"fax_number": "814-455-2925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 W 11TH ST",
"address_2": "2ND FLOOR",
"city": "ERIE",
"state": "PA",
"postal_code": "165011758",
"telephone_number": "814-452-2218",
"fax_number": "814-455-2925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCAVELLA",
"first_name": "EMILY",
"middle_name": "M",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA053545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00670434",
"state": null
}
],
"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 Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.