NPIMap

Organization Active NPI

Penn North Centers for Advanced Wound Care Inc

  • Foot & Ankle Surgery Podiatrist
  • Erie, PA
National Provider Identifier
1467411041
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
PENN NORTH CENTERS FOR ADVANCED WOUND CARE INC
Practice address
232 W 25TH St
Erie, PA 16544-0002
Phone
(814) 452-7878
NPI assigned
Mar 21, 2006
Last updated
Aug 7, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN NORTH CENTERS FOR ADVANCED WOUND CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Thomas Edward Serena, M.D.NPI 1194714139
Title
President
Phone
(814) 452-7878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

232 W 25TH St
Erie, PA 16544-0002

Mailing address

232 W 25TH St
Erie, PA 16544-0002
Phone (814) 452-7878

Other names 1

  • Penn North Podiatry Other name

National Provider Directory

National Provider Directory
Tax ID family
Penn North Centers12 organizations share this tax ID, including this one
Part of
Penn North Centers

Other organizations with this tax ID 11

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

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": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1467411041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 W 25TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165440002",
            "telephone_number": "814-452-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W 25TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165440002",
            "telephone_number": "814-452-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN NORTH CENTERS FOR ADVANCED WOUND CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN NORTH CENTERS FOR ADVANCED WOUND CARE INC",
        "enumeration_date": "2006-03-21",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "SERENA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-452-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn North Podiatry",
            "code": "5",
            "type": "Other 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 7, 2007; 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.