Presque Isle Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS007417L Issued in PA

Legal business name

PRESQUE ISLE FAMILY MEDICINE

Practice address

2556 W 12TH St
Erie, PA 16505-4508

Phone

(814) 836-9209

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

David C Lesseski, M.D.

Title

Medical Doctor

Phone

(814) 836-9209

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1679628408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054508",
            "telephone_number": "814-836-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054508",
            "telephone_number": "814-836-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESQUE ISLE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "LESSESKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "814-836-9209",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007417L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "0800122783",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012476390006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "645037",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Presbyterian Homes in the Presbytery of Lake Erie
• Presbyterian Homes in the Presbytery of Lake Erie
• Presbyterian Homes in the Presbytery of Lake Erie
• Pamela Ann Presler, M.S.W., L.C.S.W.
• Presque Isle Colon and Rectal Surgery
• Presque Isle Mind-Body Wellness Center, PLLC
• Presque Isle Optique LLC
• Presque Isle Orthopedic Laboratory Inc.
• Presque Isle Psychiatric Associates
• Nicholas J Price

• 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 Jun 17, 2014; 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.