NPIMap

Organization Active NPI

U.S. Healthworks Medical Group of Pennsylvania, PC

  • Urgent Care Clinic/Center
  • Erie, PA
National Provider Identifier
1174072052
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
U.S. HEALTHWORKS MEDICAL GROUP OF PENNSYLVANIA, PC
Practice address
3010 W Lake Rd
Erie, PA 16505-3849
Phone
(814) 833-2385
Fax
(814) 833-5522
NPI assigned
Oct 3, 2016
Organization subpart
Yes
Parent organization
U.S. HEALTHWORKS MEDICAL GROUP OF PENNSYLVANIA, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Authorized official

Name
Mr. Joseph T. Mallas
Title
President & Chief Executive Officer
Phone
(661) 678-2600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3010 W Lake Rd
Erie, PA 16505-3849

Mailing address

25124 Springfield CT
200
Valencia, CA 91355-1085
Phone (661) 678-2600

National Provider Directory

National Provider Directory
Tax ID family
US Healthworks Medical Group of Pennsylvania PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1174072052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25124 SPRINGFIELD CT",
            "address_2": "200",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551085",
            "telephone_number": "661-678-2600",
            "fax_number": "661-678-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 W LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053849",
            "telephone_number": "814-833-2385",
            "fax_number": "814-833-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. HEALTHWORKS MEDICAL GROUP OF PENNSYLVANIA, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "U.S. HEALTHWORKS MEDICAL GROUP OF PENNSYLVANIA, PC",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "MALLAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "661-678-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "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 Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.