Active NPI
Vincent Stephen Fierro Jr., D.O.
- Gastroenterology Physician
- Erie, PA
National Provider Identifier
1295787356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- OS-00513-L
- Practice address
- 2010 W 38TH St
Erie, PA 16508-2004 - Phone
- (814) 866-3986
- Fax
- (814) 866-6350
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | OS-00513-L | PA | Primary |
Addresses
Primary practice location
2010 W 38TH St
Erie, PA 16508-2004
Mailing address
2010 W 38TH St
Erie, PA 16508-2004
Phone (814) 866-3986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1119432 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070711000767 | PA | Practitioner - Gastroenterology | 9537269113 | Practice locations: Erie, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS-00513-L | PA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Practice of Lecom Institute for Successful Living | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 6
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Lecom at Village Square LLC | Skilled nursing facility | Corporate Director | May 3, 2019 |
| Lecom Senior Living Center | Skilled nursing facility | Corporate Director Trustee of the SNF |
Jan 1, 2023 Jan 1, 2023 |
| Saint Mary'S at Asbury Ridge | Skilled nursing facility | General Partnership Interest Trustee of the SNF |
May 1, 2025 Jan 7, 2008 |
| Rural Health Clinic of Wattsburg | Rural health clinic | Corporate Director | Jan 7, 2008 |
| Rural Health Clinic of Ashtabula | Rural health clinic | Corporate Director | Jan 7, 2008 |
| Rural Health Clinic of Meadville | Rural health clinic | Corporate Director | Jan 7, 2008 |
Owned or controlled facilities with NPI records 6
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Erie, PA
- NPI 1043071558
Corporate Director
-
- Rural Health Clinic/Center
- Meadville, PA
- NPI 1689489718
Corporate Director
-
- Skilled Nursing Facility
- Erie, PA
- NPI 1811713746
General Partnership Interest, Trustee of the SNF
-
- Skilled Nursing Facility
- Erie, PA
- NPI 1073396636
Corporate Director, Trustee of the SNF
-
- Rural Health Clinic/Center
- Ashtabula, OH
- NPI 1356102859
Corporate Director
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Erie, PA
- NPI 1326921487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1295787356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 W 38TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165082004",
"telephone_number": "814-866-3986",
"fax_number": "814-866-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 W 38TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165082004",
"telephone_number": "814-866-3986",
"fax_number": "814-866-6350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIERRO",
"first_name": "VINCENT",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "OS-00513-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1119432",
"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 Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.