NPIMap

Individual provider Active NPI

Stephanie Larson, D.O.

  • Emergency Medicine Physician
  • Erie, PA
National Provider Identifier
1285924175
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OT013414 Issued in PA
Practice address
2314 Sassafras St
3Rd Floor
Erie, PA 16502-2722
Phone
(814) 452-5105
Fax
(814) 452-5097
NPI assigned
Apr 12, 2011
Last updated
Apr 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT013414 PA Primary

Addresses

Primary practice location

2314 Sassafras St
3Rd Floor
Erie, PA 16502-2722

Mailing address

2314 Sassafras St
3Rd Floor
Erie, PA 16502-2722
Phone (814) 452-5105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121012000293 PA Practitioner - Emergency Medicine 7810146545 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centre Emergency Medical Associates, PC.Group PAC ID 3375529183, 6 clinicians

Practice addresses (Care Compare)

155 Wellness Way
State College, PA 16803-6702
Phone (800) 367-0179

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT013414PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jan 7, 2018 Accepting new patients
Centre Emergency Medical Associates, PC. Emergency Medicine CurrentSince Jul 15, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Emergency Medicine CurrentSince Jan 7, 2018 Accepting new patients
Titusville Area Hospital Current Accepting new patients

Locations

1 Hospital Dr
Clarion, PA 16214
Phone (814) 226-1336

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1285924175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 SASSAFRAS ST",
            "address_2": "3RD FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022722",
            "telephone_number": "814-452-5105",
            "fax_number": "814-452-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 SASSAFRAS ST",
            "address_2": "3RD FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022722",
            "telephone_number": "814-452-5105",
            "fax_number": "814-452-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "STEPHANIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT013414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.