Individual provider Active NPI

Jamie Fuhrer, D.O.

  • Psychiatry Physician
  • Erie, PA
National Provider Identifier
1679738124
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS015049 Issued in PA
Practice address
3250 W Lake Rd
Erie, PA 16505-3691
Phone
(814) 454-1085
Fax
(814) 240-3976
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OT012539 PA
Psychiatry Physician 2084P0800X OS015049 PA Primary

Addresses

Primary practice location

3250 W Lake Rd
Erie, PA 16505-3691

Mailing address

3250 W Lake Rd
Erie, PA 16505-3691
Phone (814) 454-1085

Other identifiers 1

IdentifierTypeStateIssuer
102728988 0001MedicaidPA

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
I20120719000439 PA Practitioner - Psychiatry 1658537691 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Erie, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay City Psychiatry, LLCGroup PAC ID 5698088953, 3 clinicians
Center for Focused CareGroup PAC ID 8921354531, 7 clinicians

Practice addresses (Care Compare)

3250 W Lake Rd
Erie, PA 16505-3691
Phone (814) 454-1085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS015049PAMDPsychiatry Physician
OT012539PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamie Fuhrer DO LLC Psychiatry Current Accepting new patients
Bay City Psychiatry, LLC Psychiatry CurrentSince Jul 1, 2018 Accepting new patients
Center for Focused Care. Psychiatry CurrentSince Jul 1, 2018 Accepting new patients

Locations

3250 W Lake Rd
Ste 2
Erie, PA 16505
Phone (814) 790-4567

3250 W Lake Rd
Ste 1
Erie, PA 16505
Phone (814) 454-1085

Organizations & group practices 3

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": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1679738124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053691",
            "telephone_number": "814-454-1085",
            "fax_number": "814-240-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053691",
            "telephone_number": "814-454-1085",
            "fax_number": "814-240-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRER",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OT012539",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS015049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102728988 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.