Active NPI
Robert J McGraw
- Audiologist-Hearing Aid Fitter
- Erie, PA
National Provider Identifier
1497951107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 2335
- Practice address
- 3424 Peach St
Erie, PA 16508 - Phone
- (814) 864-8797
- Fax
- (814) 864-3030
- NPI assigned
- Jun 21, 2007
- Last updated
- Dec 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 2335 | PA | Primary |
Addresses
Primary practice location
3424 Peach St
Erie, PA 16508
Mailing address
3424 Peach St
Erie, PA 16508
Phone (814) 864-8797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 212744 | Other | PA | PA BLUE SHIELD |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2335 | PA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Schroeck Optical Fashions | Past | Accepting new patients | |
| Izbicki Family Medicine PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Erie, PA
- NPI 1346579331
-
- Optician
- Erie, PA
- NPI 1194787259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1497951107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3424 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "16508",
"telephone_number": "814-864-8797",
"fax_number": "814-864-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3424 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "16508",
"telephone_number": "814-864-8797",
"fax_number": "814-864-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRAW",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "PA",
"license": "2335",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE SHIELD",
"identifier": "212744",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.