Active NPI
Paul Matthias Endres, ATC
- Athletic Trainer
- Erie, PA
National Provider Identifier
1689160541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT002107A
- Practice address
- 100 Peach St Ste 101
Erie, PA 16507-1423 - Phone
- (814) 877-6195
- NPI assigned
- Jul 3, 2018
- Last updated
- Jul 3, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT002107A | PA | Primary |
Addresses
Primary practice location
100 Peach St Ste 101
Erie, PA 16507-1423
Mailing address
2738 W 34TH St
Erie, PA 16506-3378
Phone (814) 392-1617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT002107A | PA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Sports Medicine (Orthopaedic Surgery) Physician
- Erie, PA
- NPI 1093972739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1689160541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2738 W 34TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165063378",
"telephone_number": "814-392-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PEACH ST STE 101",
"city": "ERIE",
"state": "PA",
"postal_code": "165071423",
"telephone_number": "814-877-6195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENDRES",
"first_name": "PAUL",
"middle_name": "MATTHIAS",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-03",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT002107A",
"primary": true
}
],
"identifiers": [],
"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 Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.