Organization Active NPI

Robert a. Santora M.D.P.C

Doing business as Meadville Opthalmology Associates

  • Ophthalmology Physician
  • Meadville, PA
National Provider Identifier
1326069691
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD029837L Issued in PA
Legal business name
ROBERT A. SANTORA M.D.P.C
Doing business as
Meadville Opthalmology Associates
Practice address
390 Linden St
Meadville, PA 16335-3026
Phone
(814) 724-5122
Fax
(814) 724-8276
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Authorized official

Name
Ms. Pamela S. Leupold
Title
Office Manager
Phone
(814) 724-5122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD029837L PA Primary

Addresses

Primary practice location

390 Linden St
Meadville, PA 16335-3026

Mailing address

390 Linden St
Meadville, PA 16335-3026
Phone (814) 724-5122

Other identifiers 1

IdentifierTypeStateIssuer
0006183580002MedicaidPA

Other names 1

  • Meadville Opthalmology Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050425000106 PA Part B Supplier - Clinic/Group Practice 3971541475 Receives reassigned benefits from 7 practitioners
Practice locations: Meadville, PA

National Provider Directory

National Provider Directory

Locations

390 Linden St
#A
Meadville, PA 16335

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1326069691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 LINDEN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353026",
            "telephone_number": "814-724-5122",
            "fax_number": "814-724-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 LINDEN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353026",
            "telephone_number": "814-724-5122",
            "fax_number": "814-724-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. SANTORA M.D.P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "LEUPOLD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-724-5122",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD029837L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006183580002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadville Opthalmology Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meadville Opthalmology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.