Individual provider Active NPI

Elizabeth Susan McCurdy, PA-C

  • Physician Assistant
  • Meadville, PA
National Provider Identifier
1871004036
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059426 Issued in PA
Practice address
747 Terrace St
Meadville, PA 16335-1737
Phone
(814) 333-7086
Fax
(814) 333-7068
NPI assigned
Oct 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA004299 PA
Physician Assistant 363A00000X MA059426 PA Primary

Addresses

Primary practice location

747 Terrace St
Meadville, PA 16335-1737

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-7086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180305000937 PA Practitioner - Physician Assistant 4789945973 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA004299PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center CurrentSince Dec 1, 2023 Accepting new patients
Meadville Medical Center CurrentSince Dec 1, 2023 Accepting new patients
Meadville Clinical Pathologists, Inc Current Accepting new patients
Primary Care Services Past Accepting new patients

Locations

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

747 Terrace St
Meadville, PA 16335
Phone (814) 333-7086

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

765 Liberty St
Ste 105
Meadville, PA 16335
Phone (814) 373-2310

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1871004036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-7086",
            "fax_number": "814-333-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 TERRACE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351737",
            "telephone_number": "814-333-7086",
            "fax_number": "814-333-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCURDY",
        "first_name": "ELIZABETH",
        "middle_name": "SUSAN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004299",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.