Active NPI
Gerald Jay Bishop, MD
- Internal Medicine Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD418303
- Practice address
- 120 E 2ND St FL 1
Erie, PA 16507 - Phone
- (814) 456-8980
- Fax
- (814) 451-0443
- NPI assigned
- Feb 28, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 185898 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | MD418303 | PA | |
| Cardiovascular Disease Physician | 207RC0000X | 185898 | NY | |
| Internal Medicine Physician | 207R00000X | MD418303 | PA | Primary |
Addresses
Primary practice location
120 E 2ND St FL 1
Erie, PA 16507
Mailing address
333 State St Ste 103
Erie, PA 16507-1450
Phone (814) 877-7157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01289174 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Peripheral Vascular Disease
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1740 Cleveland Rd
Wooster, OH 44691-2204
Phone (330) 287-4500
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8530
Hospital & facility affiliations
- Cleveland Clinic
- Hillcrest Hospital
- Cleveland Clinic Avon Hospital
- Euclid Hospital
- South Pointe Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185898 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wooster Clinic, LLC | Current | Accepting new patients | |
| Great Lakes Physician Practice PC | Internal Medicine | Current | Accepting new patients |
| Regional Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Jamestown Area Medical Associates, L.L.P. | Internal Medicine | Current | Accepting new patients |
| The Cleveland Clinic Foundation | Current | Accepting new patients |
Locations
504 Central Ave
Dunkirk, NY 14048
Phone (716) 366-9008
529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797
12 Center St
Ste 1
Fredonia, NY 14063
Phone (716) 679-2233
12 Center St
Ste 4
Fredonia, NY 14063
Phone (716) 672-8790
31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
1740 Cleveland Rd
Wooster, OH 44691
Phone (330) 287-4500
116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674
120 E 2nd St
Fl 2
Erie, PA 16507
Phone (814) 877-9700
3330 Peach St
Ste 203
Erie, PA 16508
Phone (814) 864-5748
120 E 2nd St
Fl 1
Erie, PA 16507
Phone (814) 877-7072
120 E 2nd St
Erie, PA 16507
Phone (814) 453-6751
333 State St
Ste 103
Erie, PA 16507
3406 Peach St
Erie, PA 16508
Phone (814) 877-5381
Organizations & group practices 5
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Multi-Specialty Clinic/Center
- Wooster, OH
- NPI 1033135009
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1528010766
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, OH
- NPI 1346607017
-
- General Acute Care Hospital
- Warrensville Heights, OH
- NPI 1235183542
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1598719346
-
- General Acute Care Hospital
- Mayfield HTS, OH
- NPI 1902858152
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1316913338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 STATE ST STE 103",
"city": "ERIE",
"state": "PA",
"postal_code": "165071450",
"telephone_number": "814-877-7157",
"fax_number": "814-877-2844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E 2ND ST FL 1",
"city": "ERIE",
"state": "PA",
"postal_code": "16507",
"telephone_number": "814-456-8980",
"fax_number": "814-451-0443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "GERALD",
"middle_name": "JAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "185898",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD418303",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "185898",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD418303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01289174",
"state": "NY"
}
],
"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 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.