Active NPI
Robert J Ferraro, MD
- Interventional Cardiology Physician
- Erie, PA
National Provider Identifier
1154325108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD027433-E
- Practice address
- 120 E. 2ND St
2ND Floor
Erie, PA 16507-1537 - Phone
- (814) 456-8980
- Fax
- (814) 451-0443
- NPI assigned
- Jun 8, 2005
- Last updated
- Jan 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | MD027433-E | PA | Primary |
| Interventional Cardiology Physician | 207RI0011X | 35-045287 | OH | |
| Interventional Cardiology Physician | 207RI0011X | 217278-1 | NY |
Addresses
Primary practice location
120 E. 2ND St
2ND Floor
Erie, PA 16507-1537
Mailing address
333 State St Ste 103
Erie, PA 16507-1450
Phone (814) 877-7157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000955053 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217278-1 | NY | MD | Interventional Cardiology Physician |
| 35-045287 | OH | MD | Interventional Cardiology Physician |
| MD027433-E | PA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Hamot | Past | Accepting new patients | |
| Great Lakes Physician Practice PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1730599176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515024000000",
"number": "1154325108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 STATE ST STE 103",
"city": "ERIE",
"state": "PA",
"postal_code": "165071450",
"telephone_number": "814-877-7157",
"fax_number": "814-877-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E. 2ND ST",
"address_2": "2ND FLOOR",
"city": "ERIE",
"state": "PA",
"postal_code": "165071537",
"telephone_number": "814-456-8980",
"fax_number": "814-451-0443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRARO",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2018-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "PA",
"license": "MD027433-E",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "OH",
"license": "35-045287",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NY",
"license": "217278-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000955053",
"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 Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.