NPIMap

Organization Active NPI

Tristate Neurological Surgeons, P.C.

  • Specialist
  • Erie, PA
National Provider Identifier
1770522724
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TRISTATE NEUROLOGICAL SURGEONS, P.C.
Practice address
120 E 2ND St
Suite 401
Erie, PA 16507-1537
Phone
(814) 459-1013
Fax
(814) 459-0435
NPI assigned
Jun 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Ms. Mary Lynn Angelotti
Title
Office Manager
Phone
(814) 459-1013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

120 E 2ND St
Suite 401
Erie, PA 16507-1537

Mailing address

120 E 2ND St
Suite 401
Erie, PA 16507-1537
Phone (814) 459-1013

National Provider Directory

National Provider Directory

Locations

765 Liberty St
Ste 209
Meadville, PA 16335
Phone (814) 333-5006

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1770522724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST",
            "address_2": "SUITE 401",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071537",
            "telephone_number": "814-459-1013",
            "fax_number": "814-459-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST",
            "address_2": "SUITE 401",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071537",
            "telephone_number": "814-459-1013",
            "fax_number": "814-459-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTATE NEUROLOGICAL SURGEONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "ANGELOTTI",
        "authorized_official_first_name": "MARY LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-459-1013",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Sep 16, 2014; 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.