Organization Active NPI

Kalata Family Practice

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1619050085
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006320L Issued in PA
Legal business name
KALATA FAMILY PRACTICE
Practice address
404 E 8TH St
Erie, PA 16503-1204
Phone
(814) 454-1851
Fax
(814) 455-8313
NPI assigned
Oct 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Dr. John C. Kalata, D.O.
Title
Owner
Phone
(814) 454-1851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS006320L PA Primary

Addresses

Primary practice location

404 E 8TH St
Erie, PA 16503-1204

Mailing address

404 E 8TH St
Erie, PA 16503-1204
Phone (814) 454-1851

Other identifiers 2

IdentifierTypeStateIssuer
0005713500001MedicaidPA
675253OtherPAKEYSTONE

National Provider Directory

National Provider Directory

Locations

404 E 8th St
Erie, PA 16503
Phone (814) 454-1851

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1619050085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031204",
            "telephone_number": "814-454-1851",
            "fax_number": "814-455-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165031204",
            "telephone_number": "814-454-1851",
            "fax_number": "814-455-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALATA FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "KALATA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-454-1851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006320L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005713500001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "675253",
            "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 Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.