Organization Active NPI

Chest Diseases of Northwestern PA

  • Pulmonary Disease Physician
  • Erie, PA
National Provider Identifier
1265494637
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
CHEST DISEASES OF NORTHWESTERN PA
Practice address
3580 Peach St
Ste 103
Erie, PA 16508-2776
Phone
(814) 864-4755
Fax
(814) 864-5430
NPI assigned
Apr 3, 2006
Last updated
Dec 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Thomas A Wittmann, MDNPI 1467429076
Title
President
Phone
(814) 864-4755

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
Pulmonary Disease Physician 207RP1001X Primary

Addresses

Primary practice location

3580 Peach St
Ste 103
Erie, PA 16508-2776

Mailing address

3580 Peach St
Ste 103
Erie, PA 16508-2776
Phone (814) 864-4755

Other identifiers 1

IdentifierTypeStateIssuer
0008738600003MedicaidPA

National Provider Directory

National Provider Directory

Locations

3580 Peach St
Ste 103
Erie, PA 16508
Phone (814) 864-4755

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1265494637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 PEACH ST",
            "address_2": "STE 103",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082776",
            "telephone_number": "814-864-4755",
            "fax_number": "814-864-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 PEACH ST",
            "address_2": "STE 103",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082776",
            "telephone_number": "814-864-4755",
            "fax_number": "814-864-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEST DISEASES OF NORTHWESTERN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "WITTMANN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-864-4755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008738600003",
            "state": "PA"
        }
    ],
    "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 Dec 22, 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.