NPIMap

Individual provider Active NPI

Randy R Jeffrey, M.D.

  • Cardiovascular Disease Physician
  • Erie, PA
National Provider Identifier
1154641348
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD456800 Issued in PA
Practice address
120 E 2ND St FL 2
Erie, PA 16507
Phone
(814) 456-8980
Fax
(814) 451-0443
NPI assigned
Jun 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD456800 PA Primary

Addresses

Primary practice location

120 E 2ND St FL 2
Erie, PA 16507

Mailing address

120 E 2ND St FL 2
Erie, PA 16507-1537
Phone (814) 456-8980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170908002614 PA Practitioner - Cardiovascular Disease (Cardiology) 7416185954 Reassigns benefits to 1 organization
I20180327000238 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7416185954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Indiana University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians
Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians

Practice addresses (Care Compare)

100 Fairfield Dr
Seneca, PA 16346-2130
Phone (412) 432-5203

12 Ctr St
Fredonia, NY 14063-1769

120 E 2ND St
Erie, PA 16507-1537

15 S Main St
Jamestown, NY 14701-6626

201 State St
Erie, PA 16550-0002
Phone (814) 877-6000

207 Foote Ave
Jamestown, NY 14701-7077
Phone (716) 934-3641

31 Sherman St
Suite 2400
Jamestown, NY 14701-7082
Phone (814) 483-5306

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

4372 Route 6
Kane, PA 16735-3060
Phone (814) 837-8585

Presgue Isle Womens Health
5035 Peach Street
Erie, PA 16509-2013
Phone (814) 877-3940

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Jan 1, 2018 Accepting new patients
Great Lakes Physician Practice PC Cardiovascular Disease CurrentSince Jan 30, 2018 Accepting new patients
Jamestown Area Medical Associates, L.L.P. Cardiovascular Disease CurrentSince Jun 1, 1997 Accepting new patients

Locations

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

333 State St
Ste 103
Erie, PA 16507

120 E 2nd St
Fl 2
Erie, PA 16507
Phone (814) 877-9700

201 State St
Erie, PA 16550
Phone (814) 877-2137

120 E 2nd St
Erie, PA 16507
Phone (814) 453-6751

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

3330 Peach St
Ste 203
Erie, PA 16508
Phone (814) 864-5748

110 N Main St
Fl 3
Greenville, PA 16125
Phone (724) 589-4318

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: randy.r.jeffrey@upmcdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1154641348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST FL 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071537",
            "telephone_number": "814-456-8980",
            "fax_number": "814-451-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST FL 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16507",
            "telephone_number": "814-456-8980",
            "fax_number": "814-451-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "RANDY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD456800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.