NPIMap

Individual provider Active NPI

Carmine Daniel D'Amico, DO

  • Cardiovascular Disease Physician
  • Erie, PA
National Provider Identifier
1801852884
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS006839L Issued in PA
Practice address
5401 Peach St Ste 3600
Erie, PA 16509-2601
Phone
(814) 868-2170
Fax
(814) 868-2108
NPI assigned
Apr 26, 2006
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X OS006839L PA Primary

Addresses

Primary practice location

5401 Peach St Ste 3600
Erie, PA 16509-2601

Mailing address

1 Lecom PL
Erie, PA 16505-2571

Other identifiers 1

IdentifierTypeStateIssuer
0011702660014MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217000090 PA Practitioner - Cardiovascular Disease (Cardiology) 3577458876 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Philadelphia College of Osteopathic Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millcreek Community HospitalGroup PAC ID 8426020173, shared by 24 NPIs, 67 clinicians

Practice addresses (Care Compare)

5401 Peach St
Erie, PA 16509-2601

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1590WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Millcreek Community Hospital Current Accepting new patients
Medical Associates of Erie CurrentSince Jan 2, 2015 Accepting new patients
Regional Health Services Inc CurrentSince Aug 8, 2002 Accepting new patients
Medicor Associates, Inc. Current Accepting new patients
Millcreek Community Hospital Cardiovascular Disease CurrentSince Jun 15, 2020 Accepting new patients
Millcreek Community Hospital Current Accepting new patients
Millcreek Community Hospital CurrentSince Jun 15, 2020 Accepting new patients
Medical Associates of Erie CurrentSince Jan 2, 2015 Accepting new patients
Millcreek Community Hospital CurrentSince May 20, 2021 Accepting new patients
Upmc Hamot Past Accepting new patients
Laser Eye Surgery of Erie, Inc PastSince Oct 21, 1998 Accepting new patients

Locations

116 Interstate Pkwy
Bradford, PA 16701
Phone (814) 362-8674

1 Lecom Pl
Erie, PA 16505

120 E 2nd St
Erie, PA 16507
Phone (814) 453-6751

120 E 2nd St
Fl 2
Erie, PA 16507
Phone (814) 877-9700

2000 W Grandview Blvd
Erie, PA 16509
Phone (814) 868-1001

2625 Parade St
Erie, PA 16504
Phone (814) 452-6383

3330 Peach St
Erie, PA 16508
Phone (814) 868-9674

3330 Peach St
Ste 203
Erie, PA 16508
Phone (814) 864-5748

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

5401 Peach St
Ste 3500
Erie, PA 16509
Phone (814) 868-2179

5401 Peach St
Ste 3600
Erie, PA 16509
Phone (814) 868-2170

5515 Peach St
Erie, PA 16509
Phone (814) 864-4031

5535 Peach St
Erie, PA 16509
Phone (814) 868-3488

Interoperability endpoints

  • Direct secure messaging: cdamico@maoeim-pa.direct.office.nextgen.com

Organizations & group practices 11

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1801852884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LECOM PL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052571",
            "fax_number": "814-868-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 PEACH ST STE 3600",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092601",
            "telephone_number": "814-868-2170",
            "fax_number": "814-868-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMICO",
        "first_name": "CARMINE",
        "middle_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "OS006839L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011702660014",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.