Active NPI
John Ralph Pyles, MD
- Emergency Medicine Physician
- Kane, PA
National Provider Identifier
1821087586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD025705E
- Practice address
- 4372 Route 6
Kane, PA 16735-3060 - Phone
- (814) 837-4560
- Fax
- (814) 837-7905
- NPI assigned
- Oct 17, 2005
- Last updated
- May 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD025705E | PA | Primary |
Addresses
Primary practice location
4372 Route 6
Kane, PA 16735-3060
Mailing address
4372 Route 6
Kane, PA 16735-3060
Phone (814) 837-4560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 884345 | Other | PA | BLUE SHIELD |
| 001632487 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD025705E | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Erie | Past | Accepting new patients | |
| Upmc Hamot | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Family Medicine Physician
- Erie, PA
- NPI 1164304903
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1821087586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4372 ROUTE 6",
"city": "KANE",
"state": "PA",
"postal_code": "167353060",
"telephone_number": "814-837-4560",
"fax_number": "814-837-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4372 ROUTE 6",
"city": "KANE",
"state": "PA",
"postal_code": "167353060",
"telephone_number": "814-837-4560",
"fax_number": "814-837-7905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PYLES",
"first_name": "JOHN",
"middle_name": "RALPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD025705E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "884345",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001632487",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kane, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.