Joel Erik Nystrom, M.D. – Family Medicine Physician

Key facts

NPI: 1881650802
Entity type: Individual (NPI type 1)
Primary specialty: Family Medicine Physician 207Q00000X
License: MD 018376E (PA)
Practice address: 225 Edgewood Drive Ext
Transfer, PA 16154-1817
Phone: (724) 962-3553
Fax: (724) 962-3630
NPI assigned: Apr 26, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Nystrom and Eckard Family Medicine Physician · Transfer, PA · NPI 1902813975

NPD (past) FAMILY MEDICINE

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
MD 018376E	PA	MD	Family Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Nystrom and Eckard	Family Medicine	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Medicine Physician	207Q00000X	MD 018376E	PA	Yes

Addresses

Primary practice location

225 Edgewood Drive Ext
Transfer, PA 16154-1817

Mailing address

139 Donation Rd
Greenville, PA 16125-7601

Other identifiers

Identifier	Type	State	Issuer
MD018376E	Other	PA	STATE LICENSE

Other providers in Transfer, PA

All providers in Transfer, PA · Family Medicine Physician in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.