Individual provider Active NPI

Daniel Dudley Noble, MD

  • Obstetrics & Gynecology Physician
  • Erie, PA
National Provider Identifier
1902225568
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD464913 Issued in PA
Practice address
100 Peach St Ste 300
Erie, PA 16507-1423
Phone
(814) 459-1851
Fax
(814) 456-0541
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD464913 PA Primary

Addresses

Primary practice location

100 Peach St Ste 300
Erie, PA 16507-1423

Mailing address

100 Peach St Ste 300
Erie, PA 16507-1423
Phone (814) 459-1851

Other practice location 1

311 W 24th St Ste 305
Erie, PA 16502-2666
Phone (814) 454-4484

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dnobel179086@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180917000397 PA Practitioner - Obstetrics/Gynecology 8426354424 Reassigns benefits to 2 organizations
I20210308001111 OH Practitioner - Obstetrics/Gynecology 8426354424

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wright State University Boonshoft School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Associates of Erie, PCGroup PAC ID 9133028616, 60 clinicians

Practice addresses (Care Compare)

100 Peach St
Erie, PA 16507-1423
Phone (814) 459-1851

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Education and Research Institute Inc CurrentSince Jan 1, 2020 Accepting new patients
Laboratory Associates of Erie LLC Current Accepting new patients
OB-GYN Associates of Erie, PC Obstetrics & Gynecology CurrentSince Sep 1, 2018 Accepting new patients
Saint Vincent Health Center Past Accepting new patients
Saint Vincent Medical Education and Research Institute Inc PastSince Jan 1, 2020 Accepting new patients
Upmc Hamot Past Accepting new patients

Locations

524 W 24th St
Ashtabula, OH 44004
Phone (440) 496-6500

155 E State St
Albion, PA 16401
Phone (814) 756-4917

311 W 24th St
Ste 305
Erie, PA 16502
Phone (814) 454-4484

100 Peach St
Ste 300
Erie, PA 16507
Phone (814) 459-1851

2315 Myrtle St
Ste 220
Erie, PA 16502
Phone (814) 454-8185

11031 Perry Hwy
Meadville, PA 16335
Phone (814) 333-4170

Interoperability endpoints

  • Direct secure messaging: dnobel179086@direct.ahn.org
  • Direct secure messaging: daniel.noble.1@28732.direct.athenahealth.com

Organizations & group practices 6

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1902225568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PEACH ST STE 300",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "814-459-1851",
            "fax_number": "814-456-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEACH ST STE 300",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "814-459-1851",
            "fax_number": "814-456-0541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 W 24th St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165022666",
            "country_code": "US",
            "telephone_number": "814-454-4484",
            "fax_number": "814-452-1809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "DANIEL",
        "middle_name": "DUDLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD464913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dnobel179086@direct.ahn.org",
            "affiliation": "N",
            "address_1": "311 W 24th St Ste 305",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165022666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.