Individual provider Active NPI

Jennifer Ann McQuade, M. D.

  • Colon & Rectal Surgery Physician
  • Erie, PA
National Provider Identifier
1508050394
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD462511 Issued in PA
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

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address jmcquade154666@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180228000599 PA Practitioner - Colorectal Surgery (Proctology) 9133281595 Reassigns benefits to 1 organization
I20241114002318 OH Practitioner - General Surgery 9133281595 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Oct 29, 2024 Accepting new patients
The Metrohealth System Current Accepting new patients
St Vincent Medical Education and Research Institute Inc CurrentSince Jan 10, 2018 Accepting new patients
The Metrohealth System CurrentSince Oct 29, 2024 Accepting new patients
St Vincent Medical Education and Research Institute Inc Colon & Rectal Surgery PastSince Jan 10, 2018 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

  • Direct secure messaging: jmcquade154666@direct.ahn.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.