Active NPI
Glenwood Internal Medicine, LLP
- Internal Medicine Physician
- Erie, PA
National Provider Identifier
1427081595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- GLENWOOD INTERNAL MEDICINE, LLP
- Practice address
- 213 East 41St St.
Erie, PA 16504 - Phone
- (814) 864-4987
- Fax
- (814) 866-1130
- NPI assigned
- Jul 9, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Walter S. Johns IV, MD
- Title
- Partner
- Phone
- (814) 864-4987
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
213 East 41St St.
Erie, PA 16504
Mailing address
213 East 41St St.
Erie, PA 16504
Phone (814) 864-4987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040007 | Other | BCBS |
Other names 1
- Lamberton, Johns, Mingey
National Provider Directory
National Provider DirectoryLocations
213 E 41st St
Erie, PA 16504
Phone (814) 452-5772
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Erie, PA
- NPI 1699726455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1427081595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 EAST 41ST ST.",
"city": "ERIE",
"state": "PA",
"postal_code": "16504",
"telephone_number": "814-864-4987",
"fax_number": "814-866-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 EAST 41ST ST.",
"city": "ERIE",
"state": "PA",
"postal_code": "16504",
"telephone_number": "814-864-4987",
"fax_number": "814-866-1130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENWOOD INTERNAL MEDICINE, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JOHNS",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "814-864-4987",
"authorized_official_name_suffix": "IV",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "040007",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lamberton, Johns, Mingey",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.