Individual provider Active NPI

Gerald Jay Bishop, MD

  • Internal Medicine Physician
  • Erie, PA
National Provider Identifier
1316913338
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD418303 Issued in PA
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

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01289174MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, OH3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050629000881 NY Practitioner - Internal Medicine 7113963281 Reassigns benefits to 1 organization
I20131025000698 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Pediatric MedicinePractitioner - Peripheral Vascular Disease 7113963281 Reassigns benefits to 2 organizations
I20191014002840 OH Practitioner - Peripheral Vascular DiseasePractitioner - Cardiovascular Disease (Cardiology) 7113963281 Reassigns benefits to 2 organizations

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
Wooster Clinic LLCGroup PAC ID 6800708124, 290 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

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 Hospital, Cleveland, OH, CCN 360180
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Cleveland Clinic Avon Hospital Hospital, Avon, OH, CCN 360364
  • Euclid Hospital Hospital, Euclid, OH, CCN 360082
  • South Pointe Hospital Hospital, Warrensville Heights, OH, CCN 360144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
185898NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Clinic, LLC CurrentSince Jan 9, 2025 Accepting new patients
Great Lakes Physician Practice PC Internal Medicine CurrentSince Sep 19, 2017 Accepting new patients
Regional Health Services Inc Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Jamestown Area Medical Associates, L.L.P. Internal Medicine CurrentSince Jun 1, 1997 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Aug 28, 2019 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.