Active NPI
Salam Nasralla
- Neurology Physician
- Erie, PA
National Provider Identifier
1235660119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35.142949
- Practice address
- 120 East Second St, 3Rd Floor
Upmc Northshore Neurology
Erie, PA 16507 - Phone
- (216) 844-5550
- NPI assigned
- Mar 23, 2017
- Last updated
- Jun 27, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Neurology Physician | 2084N0400X | 35.142949 | OH | Primary |
Addresses
Primary practice location
120 East Second St, 3Rd Floor
Upmc Northshore Neurology
Erie, PA 16507
Mailing address
120 East Second St, 3Rd Floor
Upmc Northshore Neurology
Erie, PA 16507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.142949 | OH | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1235660119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 EAST SECOND ST, 3RD FLOOR",
"address_2": "UPMC NORTHSHORE NEUROLOGY",
"city": "ERIE",
"state": "PA",
"postal_code": "16507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 EAST SECOND ST, 3RD FLOOR",
"address_2": "UPMC NORTHSHORE NEUROLOGY",
"city": "ERIE",
"state": "PA",
"postal_code": "16507",
"telephone_number": "216-844-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASRALLA",
"first_name": "SALAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-23",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35.142949",
"primary": true
}
],
"identifiers": [],
"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 Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.