Pediatric Dermatology Associates of Erie LLC

Primary specialty

Pediatric Dermatology PhysicianTaxonomy code 207NP0225X

License

MD056388L Issued in PA

Legal business name

PEDIATRIC DERMATOLOGY ASSOCIATES OF ERIE LLC

Practice address

3405 State St
Erie, PA 16508-2831

Phone

(814) 456-7548

Fax

(814) 456-5037

NPI assigned

Aug 8, 2015

Last updated

Aug 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wendy Lynn Ripple, M.D.

Title

Physician

Phone

(814) 456-7548

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438992000000",
    "number": "1174909527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082831",
            "telephone_number": "814-456-7548",
            "fax_number": "814-456-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082831",
            "telephone_number": "814-456-7548",
            "fax_number": "814-456-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DERMATOLOGY ASSOCIATES OF ERIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-08",
        "last_updated": "2015-08-08",
        "status": "A",
        "authorized_official_last_name": "RIPPLE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "814-456-7548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "PA",
            "license": "MD056388L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Nicole Peck, DO
• Pediatria Healthcare, LLC (Aveanna Healthcare)
• Pediatric Cardiology of Erie
• Pediatric Care Center of Erie, PC
• Pediatric Dentistry of Erie LLC
• Pediatric Ophthalmology of Erie, Inc
• Pediatric Orthotic and Prosthetic Services - Northeast, LLC
• Roshell L Peeso, PHARMD
• Alison Marie Mallory Pehl, DO
• Fengdi Pei, LPC

• Pediatric Dermatology Physician in Erie, PA
• Providers in Erie, PA by specialty
• Pediatric Dermatology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2015; 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.