Mario Anthony Ercole, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD018415E Issued in PA

Practice address

212 High St
Suite 103
Pottstown, PA 19464

Phone

(610) 326-9250

Fax

(610) 327-3926

NPI assigned

Sep 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Creative Health Services, Inc.

  • Child & Adolescent Psychiatry Physician
  • Pottstown, PA
  • NPI 1124194121
  Medicare reassignment NPD
• Creative Health Services Inc

  • Psychiatry Physician
  • Pennsburg, PA
  • NPI 1487721635

  Child & Adolescent Psychiatry

  NPD
• Creative Health Services, Inc.

  • Case Management Agency
  • Pottstown, PA
  • NPI 1922214121
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891891008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HIGH ST",
            "address_2": "SUITE 103",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "484-941-0500",
            "fax_number": "484-941-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HIGH ST",
            "address_2": "SUITE 103",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "610-326-9250",
            "fax_number": "610-327-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERCOLE",
        "first_name": "MARIO",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD018415E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Patrice Epps
• Sheila Shevonne Epright
• Chelsea Erb
• Emily Ruth Erb
• Matthew John Ercolani
• Jennifer Lee Erickson, M.A.
• Michael Ermalinski, M.S., LPC
• William Riley Ernst
• Eskra Plastic Surgery PC
• Erin Maria Esterly, P.T.

• Child & Adolescent Psychiatry Physician in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.