Active NPI
Pioneer Medical Associates
- Family Medicine Physician
- Meadville, PA
National Provider Identifier
1174556955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS008804L
- Legal business name
- PIONEER MEDICAL ASSOCIATES
- Practice address
- 765 Liberty St
Suite # 307
Meadville, PA 16335-2566 - Phone
- (814) 336-1140
- Fax
- (814) 724-2196
- NPI assigned
- Jul 7, 2006
- Last updated
- Jul 9, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ryan D. Landefeld, D.O.
- Title
- President Pioneer Medical Associate
- Phone
- (814) 373-4296
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD059886L | PA | |
| Family Medicine Physician | 207Q00000X | OS008804L | PA | Primary |
| Family Medicine Physician | 207Q00000X | OS012266 | PA | |
| Family Medicine Physician | 207Q00000X | OS014457 | PA | |
| Internal Medicine Physician | 207R00000X | MD052734L | PA | |
| Internal Medicine Physician | 207R00000X | MD017026E | PA | |
| Internal Medicine Physician | 207R00000X | MD072890L | PA | |
| Internal Medicine Physician | 207R00000X | MD012950E | PA | |
| Internal Medicine Physician | 207R00000X | OS012833 | PA | |
| Internal Medicine Physician | 207R00000X | OT011268 | PA | |
| Internal Medicine Physician | 207R00000X | MD434741 | PA |
Addresses
Primary practice location
765 Liberty St
Suite # 307
Meadville, PA 16335-2566
Mailing address
765 Liberty St
Suite # 307
Meadville, PA 16335-2566
Phone (814) 336-1140
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Meadville, PA
- NPI 1376575738
-
- Internal Medicine Physician
- Meadville, PA
- NPI 1073545653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341792000000",
"number": "1174556955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 LIBERTY ST",
"address_2": "SUITE # 307",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352566",
"telephone_number": "814-336-1140",
"fax_number": "814-724-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 LIBERTY ST",
"address_2": "SUITE # 307",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352566",
"telephone_number": "814-336-1140",
"fax_number": "814-724-2196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2012-07-09",
"status": "A",
"authorized_official_last_name": "LANDEFELD",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "PRESIDENT PIONEER MEDICAL ASSOCIATE",
"authorized_official_telephone_number": "814-373-4296",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "MD059886L",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "OS008804L",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "OS012266",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "OS014457",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD052734L",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD017026E",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD072890L",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD012950E",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS012833",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "OT011268",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD434741",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.