Individual provider Active NPI

Anne Marie Zomcik, MD

  • Pediatrics Physician
  • Erie, PA
National Provider Identifier
1558349787
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD056539L Issued in PA
Practice address
4247 W Ridge Rd Ste 105
Erie, PA 16506-1746
Phone
(814) 838-2468
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD056539L PA Primary

Addresses

Primary practice location

4247 W Ridge Rd Ste 105
Erie, PA 16506-1746

Mailing address

4247 W Ridge Rd Ste 105
Erie, PA 16506-1746
Phone (814) 838-2468

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address azomcik148983@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110331000451 PA Practitioner - Pediatric Medicine 4385827104 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD056539LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc Pediatrics CurrentSince Nov 1, 2010 Accepting new patients
Saint Vincent Medical Education and Research Institute Past Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

3530 Peach St
Ste LL1
Erie, PA 16508

2501 W 12th St
Erie, PA 16505
Phone (814) 461-6626

153 E 13th St
Ste 1300
Erie, PA 16503
Phone (814) 452-5081

4247 W Ridge Rd
Ste 105
Erie, PA 16506
Phone (814) 453-7767

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1558349787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 W RIDGE RD STE 105",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061746",
            "telephone_number": "814-838-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 W RIDGE RD STE 105",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061746",
            "telephone_number": "814-838-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOMCIK",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD056539L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "azomcik148983@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4247 W Ridge Rd Ste 105",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165061746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.