NPIMap

Organization Active NPI

Regional Health Services, Inc.

Doing business as Hamot Shock Trauma

  • Surgery Physician
  • Erie, PA
National Provider Identifier
1750548459
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
REGIONAL HEALTH SERVICES, INC.
Doing business as
Hamot Shock Trauma
Practice address
104 E 2ND St
7TH Floor
Erie, PA 16507-1532
Phone
(814) 877-6111
Fax
(814) 877-6356
NPI assigned
May 20, 2008
Organization subpart
Yes
Parent organization
REGIONAL HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
David Gibbons
Title
President
Phone
(814) 877-7591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

104 E 2ND St
7TH Floor
Erie, PA 16507-1532

Mailing address

104 E 2ND St
7TH Floor
Erie, PA 16507-1532
Phone (814) 877-6111

Other names 1

  • Hamot Shock Trauma Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bayview Medical Group79 organizations share this tax ID, including this one
Part of
Bayview Medical Group

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

104 E 2nd St
Fl 7
Erie, PA 16507
Phone (814) 453-6751

Practitioners & affiliated clinicians

Practitioners 1

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1750548459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E 2ND ST",
            "address_2": "7TH FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071532",
            "telephone_number": "814-877-6111",
            "fax_number": "814-877-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 2ND ST",
            "address_2": "7TH FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071532",
            "telephone_number": "814-877-6111",
            "fax_number": "814-877-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL HEALTH SERVICES, INC.",
        "enumeration_date": "2008-05-20",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-877-7591"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamot Shock Trauma",
            "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 Aug 30, 2013; 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.