Pediatric Cardiology of Erie

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

MD060978L Issued in PA

Legal business name

PEDIATRIC CARDIOLOGY OF ERIE

Practice address

1351 W 6TH St
Erie, PA 16505-2503

Phone

(814) 455-2252

Fax

(814) 455-1252

NPI assigned

Dec 17, 2009

Last updated

Dec 17, 2009By 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. David M Freeman, M.D.NPI 1841396058

Title

Proprietor

Phone

(814) 455-2252

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Mark Freeman, MD

  • Pediatric Cardiology Physician
  • Erie, PA
  • NPI 1841396058
  NPD (past) Authorized official

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1225367436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 W 6TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052503",
            "telephone_number": "814-455-2252",
            "fax_number": "814-455-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 W 6TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052503",
            "telephone_number": "814-455-2252",
            "fax_number": "814-455-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIOLOGY OF ERIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "814-455-2252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "PA",
            "license": "MD060978L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teylor Morgan Pearson
• Kaley Peck
• Melissa Kaye Peck, LPC
• Stephanie Nicole Peck, DO
• Pediatria Healthcare, LLC (Aveanna Healthcare)
• Pediatric Care Center of Erie, PC
• Pediatric Dentistry of Erie LLC
• Pediatric Dermatology Associates of Erie LLC
• Pediatric Ophthalmology of Erie, Inc
• Pediatric Orthotic and Prosthetic Services - Northeast, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.