Organization Active NPI

Armanini, Kolodychak, & Basile, L.L.P.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Erie, PA
National Provider Identifier
1215972716
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
ARMANINI, KOLODYCHAK, & BASILE, L.L.P.
Practice address
4600 Zuck Rd
Erie, PA 16506-4932
Phone
(814) 838-2144
Fax
(814) 838-7227
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Michael Thomas Kolodychak, D.M.D.NPI 1376519181
Title
Partner
Phone
(814) 838-2144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

4600 Zuck Rd
Erie, PA 16506-4932

Mailing address

4600 Zuck Rd
Erie, PA 16506-4932
Phone (814) 838-2144

Other identifiers 2

IdentifierTypeStateIssuer
V0V08OOtherUPMC HEALTH PLAN IDENTIFICATION
000950549OtherHIGHMARK IDENTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405000782 PA Part B Supplier - Clinic/Group Practice 6709879984 Receives reassigned benefits from 3 practitioners
Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Locations

4600 Zuck Rd
Erie, PA 16506
Phone (814) 838-2144

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215972716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064932",
            "telephone_number": "814-838-2144",
            "fax_number": "814-838-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064932",
            "telephone_number": "814-838-2144",
            "fax_number": "814-838-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMANINI, KOLODYCHAK, & BASILE, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOLODYCHAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "814-838-2144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN IDENTIFICATION",
            "identifier": "V0V08O",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK IDENTIFICATION",
            "identifier": "000950549",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.