Active NPI
Jennifer Ann McQuade, M. D.
- Colon & Rectal Surgery Physician
- Erie, PA
National Provider Identifier
1508050394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- MD462511
- Practice address
- 145 W 23Rd St Ste 201
Erie, PA 16502-2858 - Phone
- (814) 453-2777
- Fax
- (814) 453-2779
- NPI assigned
- Sep 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 0101238428 | VA | |
| Colon & Rectal Surgery Physician | 208C00000X | MD462511 | PA | Primary |
Addresses
Primary practice location
145 W 23Rd St Ste 201
Erie, PA 16502-2858
Mailing address
145 W 23Rd St Ste 201
Erie, PA 16502-2858
Phone (814) 453-2777
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmcquade154666@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| St Vincent Medical Education and Research Institute Inc | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| St Vincent Medical Education and Research Institute Inc | Colon & Rectal Surgery | Past | Accepting new patients |
Locations
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
155 E State St
Albion, PA 16401
Phone (814) 756-4917
145 W 23rd St
Ste 201
Erie, PA 16502
Phone (814) 453-2777
1910 Sassafras St
Ste 100
Erie, PA 16502
Phone (814) 452-5772
Interoperability endpoints
- jmcquade154666@direct.ahn.org
- jmcquade296064@direct.metrohealth.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
-
- Colon & Rectal Surgery Physician
- Erie, PA
- NPI 1194049288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1508050394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 W 23RD ST STE 201",
"city": "ERIE",
"state": "PA",
"postal_code": "165022858",
"telephone_number": "814-453-2777",
"fax_number": "814-453-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 W 23RD ST STE 201",
"city": "ERIE",
"state": "PA",
"postal_code": "165022858",
"telephone_number": "814-453-2777",
"fax_number": "814-453-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUADE",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "VA",
"license": "0101238428",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "PA",
"license": "MD462511",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmcquade154666@direct.ahn.org",
"affiliation": "N",
"address_1": "145 W 23rd St Ste 201",
"city": "Erie",
"state": "PA",
"country_code": "US",
"postal_code": "165022858",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.