Individual provider Active NPI

Richard L Cogley, MD

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1790760601
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD022969E Issued in PA
Practice address
3822 Colonial Ave
Erie, PA 16506-3826
Phone
(814) 833-5653
Fax
(814) 838-1153
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD022969E PA Primary

Addresses

Primary practice location

3822 Colonial Ave
Erie, PA 16506-3826

Mailing address

3822 Colonial Ave
Erie, PA 16506-3826
Phone (814) 833-5653

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rcogley148750@direct.ahn.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040109000942 PA Practitioner - Family Practice 0749193944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD022969EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc Family Medicine CurrentSince Aug 17, 1983 Accepting new patients
Saint Vincent Medical Education and Research Institute Family Medicine Past Accepting new patients
The Regional Cancer Center PastSince Nov 23, 2004 Accepting new patients

Locations

155 E State St
Albion, PA 16401
Phone (814) 756-4917

3530 Peach St
Ste LL1
Erie, PA 16508

3822 Colonial Ave
Ste A
Erie, PA 16506
Phone (814) 833-5653

3822 Colonial Ave
Erie, PA 16506
Phone (814) 833-5653

1910 Sassafras St
Ste 100
Erie, PA 16502
Phone (814) 452-5772

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

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.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1790760601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 COLONIAL AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063826",
            "telephone_number": "814-833-5653",
            "fax_number": "814-838-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 COLONIAL AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063826",
            "telephone_number": "814-833-5653",
            "fax_number": "814-838-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGLEY",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD022969E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcogley148750@direct.ahn.org",
            "affiliation": "N",
            "address_1": "3822 Colonial Ave",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165063826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.