NPIMap

Organization Active NPI

Eliseo M. Roquiz MD

Doing business as Millcreek Anesthesia Services

  • Anesthesiology Physician
  • Erie, PA
National Provider Identifier
1700820909
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD022695E Issued in PA
Legal business name
ELISEO M. ROQUIZ MD
Doing business as
Millcreek Anesthesia Services
Practice address
5515 Peach St
Erie, PA 16509-2603
Phone
(814) 454-8885
Fax
(814) 456-3856
NPI assigned
Jun 16, 2006
Last updated
Oct 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Dr. Eliseo M. Roquiz, M.D.NPI 1891788378
Title
Anesthesiologist
Phone
(814) 454-8885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X MD022695E PA Primary

Addresses

Primary practice location

5515 Peach St
Erie, PA 16509-2603

Mailing address

PO Box 1149
Erie, PA 16512-1149
Phone (814) 454-8885

Other names 1

  • Millcreek Anesthesia Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1700820909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1149",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165121149",
            "telephone_number": "814-454-8885",
            "fax_number": "814-456-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603",
            "telephone_number": "814-454-8885",
            "fax_number": "814-456-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISEO M. ROQUIZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "ROQUIZ",
        "authorized_official_first_name": "ELISEO",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "814-454-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD022695E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millcreek Anesthesia Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 30, 2008; 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.