NPIMap

Organization Active NPI

Regional Health Services Inc.

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1841457579
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REGIONAL HEALTH SERVICES INC.
Practice address
3330 Peach Street
Suite 106
Erie, PA 16508-2771
Phone
(814) 877-5500
Fax
(814) 877-5508
NPI assigned
May 20, 2008
Organization subpart
Yes
Parent organization
REGIONAL HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2009

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

Authorized official

Name
Jason N Roeback
Title
President
Phone
(814) 877-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3330 Peach Street
Suite 106
Erie, PA 16508-2771

Mailing address

717 State Street
Suite 16, LL
Erie, PA 16501-1360
Phone (814) 480-7100

Other names 1

  • Sterling Square Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John R Pyles79 organizations share this tax ID, including this one
Part of
John R Pyles

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1841457579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 STATE STREET",
            "address_2": "SUITE 16, LL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011360",
            "telephone_number": "814-480-7100",
            "fax_number": "814-480-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PEACH STREET",
            "address_2": "SUITE 106",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082771",
            "telephone_number": "814-877-5500",
            "fax_number": "814-877-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL HEALTH SERVICES, INC.",
        "enumeration_date": "2008-05-20",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "ROEBACK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-877-4242"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Square Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 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.