Active NPI
Eric Schreiber, PA-C
- Physician Assistant
- Shinglehouse, PA
National Provider Identifier
1215077383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA051264
- Practice address
- 128 Lyons Street
Shinglehouse, PA 16748 - Phone
- (814) 697-7165
- Fax
- (814) 697-7747
- NPI assigned
- Feb 7, 2007
- Last updated
- Apr 2, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA051264 | PA | Primary |
Addresses
Primary practice location
128 Lyons Street
Shinglehouse, PA 16748
Mailing address
1001 E 2ND St
Coudersport, PA 16915-8161
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eric.a.schreiber@upmdirect.com | Direct | Charles Cole Memorial Hospital |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110413000865 | PA | Order and Referring Only - Physician Assistant | 2466636592 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles Cole Memorial Hospital D/B/a Upmc Cole | Past | Accepting new patients | |
| Charles Cole Memorial D/B/a Upmc Cole | Past | Accepting new patients |
Interoperability endpoints
- eric.a.schreiber@upmcdirect.com
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617321600000",
"number": "1215077383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E 2ND ST",
"city": "COUDERSPORT",
"state": "PA",
"postal_code": "169158161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 LYONS STREET",
"city": "SHINGLEHOUSE",
"state": "PA",
"postal_code": "16748",
"telephone_number": "814-697-7165",
"fax_number": "814-697-7747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREIBER",
"first_name": "ERIC",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2021-04-02",
"certification_date": "2021-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA051264",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eric.a.schreiber@upmdirect.com",
"affiliation": "Y",
"endpointDescription": "UPMC Cole",
"affiliationName": "Charles Cole Memorial Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1001 E 2nd St",
"city": "Coudersport",
"state": "PA",
"country_code": "US",
"postal_code": "16915",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shinglehouse, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.