Organization Active NPI

Neurology Associates of Erie PC

  • Neurology Physician
  • Erie, PA
National Provider Identifier
1811913098
Registry record updated Nov 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS008832L Issued in PA
Legal business name
NEUROLOGY ASSOCIATES OF ERIE PC
Practice address
3504 State St
Erie, PA 16508-2834
Phone
(814) 455-8096
Fax
(814) 456-6170
NPI assigned
Jul 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2009

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

Authorized official

Name
Mrs. Crystal M. Taylor
Title
Office Manager
Phone
(814) 455-8096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X OS008832L PA Primary

Addresses

Primary practice location

3504 State St
Erie, PA 16508-2834

Mailing address

3504 State St
Erie, PA 16508-2834
Phone (814) 455-8096

Other identifiers 2

IdentifierTypeStateIssuer
0009197450003MedicaidPA
431034OtherPABS GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

3504 State St
Erie, PA 16508
Phone (814) 455-8086

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1811913098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082834",
            "telephone_number": "814-455-8096",
            "fax_number": "814-456-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082834",
            "telephone_number": "814-455-8096",
            "fax_number": "814-456-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF ERIE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-455-8096",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OS008832L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009197450003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS GROUP NUMBER",
            "identifier": "431034",
            "state": "PA"
        }
    ],
    "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 Nov 30, 2009; 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.