Organization Active NPI

Glenwood Internal Medicine, LLP

  • Internal Medicine Physician
  • Erie, PA
National Provider Identifier
1427081595
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Walter S. Johns IV, MDNPI 1699726455
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
040007OtherBCBS

Other names 1

  • Lamberton, Johns, Mingey Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.