NPIMap

Individual provider Active NPI

Gianpiero Martone, DO

  • Child & Adolescent Psychiatry Physician
  • Erie, PA
National Provider Identifier
1174936504
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
OT015801 Issued in PA
Practice address
5535 Peach St
Erie, PA 16509-2603
Phone
(814) 868-3488
Fax
(814) 868-3499
NPI assigned
Jun 3, 2014
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X OS018722 PA
General Acute Care Hospital 282N00000X 1720153968 PA
Child & Adolescent Psychiatry Physician 2084P0804X OT015801 PA Primary

Addresses

Primary practice location

5535 Peach St
Erie, PA 16509-2603

Mailing address

1 Lecom PL
Erie, PA 16505-2571
Phone (814) 868-2507

Other practice location 1

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

Other identifiers 1

IdentifierTypeStateIssuer
103340072MedicaidPA

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
I20181221000990 PA Practitioner - Psychiatry 5092050914 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Millcreek Community HospitalGroup PAC ID 8426020173, shared by 24 NPIs, 67 clinicians

Practice addresses (Care Compare)

2222 W Grandview Blvd
Erie, PA 16506-4508
Phone (814) 454-3174

4740 Peach St
Erie, PA 16509-2008
Phone (814) 454-3174

537 W 18TH St
Plaza 18 Medical Center
Erie, PA 16502-1722
Phone (814) 456-1009

5515 Peach St
Erie, PA 16509-2603
Phone (814) 864-4031

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS018722PAMDChild & Adolescent Psychiatry Physician
OT015801PAMDChild & Adolescent Psychiatry Physician
1720153968PAMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Millcreek Community Hospital Current Accepting new patients
Medical Associates of Erie CurrentSince Mar 1, 2019 Accepting new patients
Millcreek Community Hospital Child & Adolescent Psychiatry CurrentSince Jun 15, 2020 Accepting new patients
Medical Associates of Erie CurrentSince Mar 1, 2019 Accepting new patients
Millcreek Community Hospital Child & Adolescent Psychiatry CurrentSince Mar 13, 2026 Accepting new patients
Millcreek Community Hospital CurrentSince Nov 3, 2018 Accepting new patients
Millcreek Community Hospital General Acute Care Hospital CurrentSince Nov 3, 2018 Accepting new patients
Millcreek Community Hospital CurrentSince Sep 21, 2020 Accepting new patients
Medical Associates of Erie Current Accepting new patients

Locations

1 Lecom Pl
Erie, PA 16505

2000 W Grandview Blvd
Erie, PA 16509
Phone (814) 868-1001

2222 W Grandview Blvd
Erie, PA 16506
Phone (814) 454-3174

2625 Parade St
Erie, PA 16504
Phone (814) 452-6383

4740 Peach St
Erie, PA 16509
Phone (814) 454-3174

537 W 18th St
Erie, PA 16502
Phone (814) 454-3174

537 W 18th St
#18
Erie, PA 16502
Phone (814) 456-1009

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

5535 Peach St
Erie, PA 16509
Phone (814) 868-3488

Organizations & group practices 9

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 9

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1174936504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "telephone_number": "814-868-2507",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603",
            "telephone_number": "814-868-3488",
            "fax_number": "814-868-3499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5515 Peach St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "16509",
            "country_code": "US",
            "telephone_number": "814-864-4031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTONE",
        "first_name": "GIANPIERO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "OS018722",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "1720153968",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "OT015801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103340072",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.