Your Family Doctor, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

YOUR FAMILY DOCTOR, PC

Practice address

3939 W Ridge Rd
Suite a-101
Erie, PA 16506-1879

Phone

(814) 836-7650

Fax

(814) 836-7690

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Shields, DO

Title

President

Phone

(814) 836-7650

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629114020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 W RIDGE RD",
            "address_2": "SUITE A-101",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061879",
            "telephone_number": "814-836-7650",
            "fax_number": "814-836-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 W RIDGE RD",
            "address_2": "SUITE A-101",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165061879",
            "telephone_number": "814-836-7650",
            "fax_number": "814-836-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR FAMILY DOCTOR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-836-7650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda L Young, M.D.
• Nathan A Young
• Stefanie L Young, C.N.M.
• Susan Nelson Young, L.P.C., N.C.C.
• Tamara Young
• Your Hometown Pharmacy Inc
• Ji Hwan Yu, DO
• Aaron Michael Yun, MD
• Nicole Yurchak, RNFA
• Patricia Irene Yurkewicz, MS, NBCC, LPC

• Family Medicine Physician in Erie, PA
• Providers in Erie, PA by specialty
• Family Medicine Physician in Pennsylvania

• 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.

Verify at the official NPI Registry.