NPIMap

Organization Active NPI

Regional Health Services, Inc.

Doing business as Great Lakes Surgical Specialists

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1346407087
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REGIONAL HEALTH SERVICES, INC.
Doing business as
Great Lakes Surgical Specialists
Practice address
104 E 2ND St
Erie, PA 16507-1532
Phone
(814) 877-4577
Fax
(814) 455-3001
NPI assigned
May 20, 2008
Last updated
Sep 3, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
REGIONAL HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Authorized official

Name
David Gibbons
Title
President
Phone
(814) 877-7591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

104 E 2ND St
Erie, PA 16507-1532

Mailing address

104 E 2ND St
Erie, PA 16507-1532
Phone (814) 877-4577

Other names 1

  • Great Lakes Surgical Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Regional Health Service79 organizations share this tax ID, including this one
Part of
Regional Health Service

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378166400000",
    "number": "1346407087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E 2ND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071532",
            "telephone_number": "814-877-4577",
            "fax_number": "814-455-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 2ND ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071532",
            "telephone_number": "814-877-4577",
            "fax_number": "814-455-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL HEALTH SERVICES, INC.",
        "enumeration_date": "2008-05-20",
        "last_updated": "2013-09-03",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-877-7591"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Surgical Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.