Erie Physicians Network-Upmc,Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ERIE PHYSICIANS NETWORK-UPMC,INC

Practice address

1325 W 26TH St
Erie, PA 16508-1469

Phone

(412) 647-0943

Fax

(412) 647-4050

NPI assigned

Oct 11, 2011

Last updated

Apr 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Ehalt

Title

Sr.Director

Phone

(412) 647-0943

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Cacchione

  • Family Medicine Physician
  • Erie, PA
  • NPI 1063412732
  Medicare reassignment Care Compare group NPD
• Philip Mark Cacchione Jr.

  • Family Medicine Physician
  • Erie, PA
  • NPI 1083233100
  Medicare reassignment Care Compare group NPD
• Cassandra Bianca De la Torre, DO

  • Family Medicine Physician
  • Erie, PA
  • NPI 1265898332
  Medicare reassignment Care Compare group NPD
• James A Gade, D.O.

  • Family Medicine Physician
  • Erie, PA
  • NPI 1518286483
  Medicare reassignment Care Compare group NPD
• Robert Geiger

  • Family Medicine Physician
  • Erie, PA
  • NPI 1992769483
  Medicare reassignment Care Compare group NPD
• Corey Hickey, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Erie, PA
  • NPI 1932475928
  Medicare reassignment Care Compare group NPD
• Jeffery S Hover, DO

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1902233596
  Medicare reassignment Care Compare group NPD
• Craig Tyrrell Johnston Jr., DO

  • Family Medicine Physician
  • Erie, PA
  • NPI 1477295244
  Medicare reassignment Care Compare group NPD
• David Knight, DO

  • Physical Medicine & Rehabilitation Physician
  • Erie, PA
  • NPI 1306402896
  Medicare reassignment Care Compare group NPD
• David Kruszewski

  • Family Medicine Physician
  • Erie, PA
  • NPI 1003870585
  Medicare reassignment Care Compare group NPD
• Anne-Marie Liszka

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1023014032
  Medicare reassignment Care Compare group NPD
• Bharati Chetan Nikhare, MD

  • Family Medicine Physician
  • Erie, PA
  • NPI 1497340020
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1366726259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 W 26TH ST",
            "address_2": "SUITE 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063064",
            "telephone_number": "814-835-3751",
            "fax_number": "814-835-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081469",
            "telephone_number": "412-647-0943",
            "fax_number": "412-647-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE PHYSICIANS NETWORK-UPMC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "EHALT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SR.DIRECTOR",
        "authorized_official_telephone_number": "412-647-0943",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erie Pharmacy
• Erie Physician Network-Upmc,Inc (Stephen P.Kroth,DO LAc-UPMC)
• Erie Physicians Network PC
• Erie Physicians Network PC
• Erie Physicians Network- Upmc Inc (Pinecrest Family Practice (Pine Avenue))
• Erie Physicians Network, PC
• Erie Physicians Network, PC
• Erie Physicians Network, PC
• Erie Psychiatric Associates, LLC
• Erie Retina Research LLC

• Family Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.