Erie Surgical Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ERIE SURGICAL ASSOCIATES

Practice address

1400 West Main St
Suite D
Bellevue, OH 44811

Phone

(419) 483-6655

Fax

(416) 483-6699

NPI assigned

Mar 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Philip M Hutchison, DONPI 1538138706

Title

President

Phone

(419) 483-6655

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Erie Surgical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Erie Surgical Associates Inc

  • Surgery Physician
  • Norwalk, OH
  • NPI 1841390119
  NPD tax ID

Practitioners 1

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

• Philip M Hutchison, DO

  • Surgery Physician
  • Bellevue, OH
  • NPI 1538138706
  NPD (past) Authorized official

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1457320095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WEST MAIN ST",
            "address_2": "SUITE D",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "44811",
            "telephone_number": "419-483-6655",
            "fax_number": "416-483-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WEST MAIN ST",
            "address_2": "SUITE D",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "44811",
            "telephone_number": "419-483-6655",
            "fax_number": "416-483-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HUTCHISON",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-483-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2631218",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD6136",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7368728",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy A Dymond, FNP-C
• Kristina Eberly, CNP
• Elmwood Centers Inc
• Cheryl Englehart, MA, LPC
• Envision Icare, Inc
• Executive Urology
• Cheryl Farris, PTA
• Gregory Michael Fesz, NDTR
• Firelands Regional Medical Center
• Rachel Forman, M.A., ED.S.

• Surgery Physician in Bellevue, OH
• Providers in Bellevue, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.