Active NPI
Jamie Fuhrer, D.O.
- Psychiatry Physician
- Erie, PA
National Provider Identifier
1679738124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS015049
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102728988 0001 | Medicaid | PA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS015049 | PA | MD | Psychiatry Physician |
| OT012539 | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamie Fuhrer DO LLC | Psychiatry | Current | Accepting new patients |
| Bay City Psychiatry, LLC | Psychiatry | Current | Accepting new patients |
| Center for Focused Care. | Psychiatry | Current | 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.
-
- Psychiatry Physician
- Erie, PA
- NPI 1770991499
-
- Psychiatry Physician
- Erie, PA
- NPI 1770070096
-
- Psychiatry Physician
- Erie, PA
- NPI 1558298372
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.