Erie Medical Specialty Clinic, PC

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

MD025800E Issued in PA

Legal business name

ERIE MEDICAL SPECIALTY CLINIC, PC

Practice address

2566 W 12TH St
Erie, PA 16505-4508

Phone

(814) 838-0990

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

John Lyons

Title

President

Phone

(814) 455-2170

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184656944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054508",
            "telephone_number": "814-838-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054508",
            "telephone_number": "814-838-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE MEDICAL SPECIALTY CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-455-2170"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "PA",
            "license": "MD025800E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erie Horizon Healing Services
• Erie Imaging, LLC (Village Imaging Center)
• Erie Independence House, Inc.
• Erie Independence House, Inc.
• Erie Medical & Rehab Center Inc
• Erie Medical Specialty Clinic, PC
• Erie Operating LLC (Golden LivingCenter - Walnut Creek)
• Erie Ops LLC (Westlake Woods Assisted Living)
• Erie Osteopathic Medicine, LLC
• Erie Pharmacy

• Adult Reconstructive Orthopaedic Surgery Physician in Erie, PA
• Providers in Erie, PA by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.