Individual provider Active NPI

Erden Fikri, MD FACS

  • Surgery Physician
  • Johnstown, PA
National Provider Identifier
1477547560
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD033901L Issued in PA
Practice address
353 Market St
Suite 103
Johnstown, PA 15901-1711
Phone
(814) 535-3571
Fax
(814) 535-3572
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD033901L PA Primary

Addresses

Primary practice location

353 Market St
Suite 103
Johnstown, PA 15901-1711

Mailing address

353 Market St
Suite 103
Johnstown, PA 15901-1711
Phone (814) 535-3571

Other identifiers 1

IdentifierTypeStateIssuer
0006411220001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD033901LPAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1477547560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 MARKET ST",
            "address_2": "SUITE 103",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011711",
            "telephone_number": "814-535-3571",
            "fax_number": "814-535-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 MARKET ST",
            "address_2": "SUITE 103",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011711",
            "telephone_number": "814-535-3571",
            "fax_number": "814-535-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKRI",
        "first_name": "ERDEN",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD033901L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006411220001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.