Orthopaedic & Sports Medicine of Erie PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOPAEDIC & SPORTS MEDICINE OF ERIE PC

Practice address

300 York St
Corry, PA 16407-1420

Phone

(814) 664-9866

Fax

(814) 454-8470

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Charlene A Kellerman

Title

Practice Administrator

Phone

(814) 454-8287

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Nick Stefanovski, MD

  • Orthopaedic Surgery Physician
  • Erie, PA
  • NPI 1376546358
  NPD

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1457522369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "address_2": "#400A",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071427",
            "telephone_number": "814-454-8287",
            "fax_number": "814-454-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 YORK ST",
            "city": "CORRY",
            "state": "PA",
            "postal_code": "164071420",
            "telephone_number": "814-664-9866",
            "fax_number": "814-454-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC & SPORTS MEDICINE OF ERIE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "KELLERMAN",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "814-454-8287"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012321160003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Jersey-Pennsylvania Em- I Medical Services PC
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• NRS Arizona, PA
• Katelyn Nuhfer
• Pennsylvania CVS Pharmacy, L.L.C.
• Erin Perry, CRS
• Michelle Dawn Peters, RPH
• Chelsey Nicole Pfeffer
• Keeley Lynn Phelps, CRNP

• Orthopaedic Surgery Physician in Corry, PA
• Providers in Corry, PA by specialty
• Orthopaedic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.