NPIMap

Individual provider Active NPI

Erica Dorondo, P.A.

  • Medical Physician Assistant
  • Ford City, PA
National Provider Identifier
1154661452
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055994 Issued in PA
Practice address
313 Ford St
Suite 2a
Ford City, PA 16226-1268
Phone
(724) 763-7144
Fax
(724) 763-7161
NPI assigned
Feb 22, 2013
Last updated
Sep 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA055994 PA Primary

Addresses

Primary practice location

313 Ford St
Suite 2a
Ford City, PA 16226-1268

Mailing address

313 Ford St
Suite 2 a
Ford City, PA 16226-1268
Phone (724) 763-7144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130617000525 PA Practitioner - Physician Assistant 6507005865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Philip a Gelacek MD PCGroup PAC ID 1850300757, 4 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

313 Ford St
2A
Ford City, PA 16226-1227
Phone (724) 763-7144

313 Ford St
Suite 2a
Ford City, PA 16226-1268

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA055994PAMDMedical Physician Assistant

Organizations & group practices 1

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.

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": "1361491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1154661452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 FORD ST",
            "address_2": "SUITE 2 A",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162261268",
            "telephone_number": "724-763-7144",
            "fax_number": "724-763-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 FORD ST",
            "address_2": "SUITE 2A",
            "city": "FORD CITY",
            "state": "PA",
            "postal_code": "162261268",
            "telephone_number": "724-763-7144",
            "fax_number": "724-763-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORONDO",
        "first_name": "ERICA",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-22",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ford City, PA

Sources for this page

Verify at the official NPI Registry.