Active NPI
Erie County Medical Associates
- Geriatric Medicine (Family Medicine) Physician
- Girard, PA
National Provider Identifier
1609955533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- ERIE COUNTY MEDICAL ASSOCIATES
- Practice address
- 8300 West Ridge Rd
Girard, PA 16417 - Phone
- (814) 474-5521
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eardly Wickramasinghe, MD
- Title
- Physician/Owner
- Phone
- (814) 474-5521
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary |
Addresses
Primary practice location
8300 West Ridge Rd
Girard, PA 16417
Mailing address
8300 West Ridge Rd
Girard, PA 16417
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 441239 | Other | PA | HIGHMARK |
| 0009353370008 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
4728 Lake Pleasant Rd
Erie, PA 16504
Phone (814) 825-0000
1781 W 26th St
Erie, PA 16508
Phone (814) 454-5896
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Fairview, PA
- NPI 1841377082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609955533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 WEST RIDGE RD",
"city": "GIRARD",
"state": "PA",
"postal_code": "16417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 WEST RIDGE RD",
"city": "GIRARD",
"state": "PA",
"postal_code": "16417",
"telephone_number": "814-474-5521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIE COUNTY MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WICKRAMASINGHE",
"authorized_official_first_name": "EARDLY",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "814-474-5521",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "441239",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009353370008",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Girard, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.