Erie Physician Network-Upmc,Inc

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

Legal business name

ERIE PHYSICIAN NETWORK-UPMC,INC

Practice address

1781 W 26TH St
Lower Level
Erie, PA 16508-1256

Phone

(814) 480-8960

Fax

(814) 480-8970

NPI assigned

Aug 21, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Mark Ehalt

Title

Sr.Director

Phone

(412) 647-0943

Specialties & licenses 1

Addresses

Other names 1

• Stephen P.Kroth,DO LAc-UPMC Doing business as

Tax ID family

Erie Physician Network-Upmcinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Erie Physicians Network- Upmc Inc

  • Non-Pharmacy Dispensing Site
  • Erie, PA
  • NPI 1629340609
  NPD tax ID

Locations

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1821346933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 W 26TH ST",
            "address_2": "LOWER LEVEL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081256",
            "telephone_number": "814-480-8960",
            "fax_number": "814-480-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 W 26TH ST",
            "address_2": "LOWER LEVEL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081256",
            "telephone_number": "814-480-8960",
            "fax_number": "814-480-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE PHYSICIAN NETWORK-UPMC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "EHALT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SR.DIRECTOR",
        "authorized_official_telephone_number": "412-647-0943",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen P.Kroth,DO LAc-UPMC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erie Medical Specialty Clinic, PC
• Erie Operating LLC
• Erie Ops LLC
• Erie Osteopathic Medicine, LLC
• Erie Pharmacy
• Erie Physicians Network PC
• Erie Physicians Network PC
• Erie Physicians Network- Upmc Inc
• Erie Physicians Network-Upmc,Inc
• Erie Physicians Network, PC

• Neuromusculoskeletal Medicine & OMM Physician in Erie, PA
• Providers in Erie, PA by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.