Active NPI
Sciamanda Total Health and Wellness
- Family Medicine Physician
- Erie, PA
National Provider Identifier
1902385255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS018175
- Legal business name
- SCIAMANDA TOTAL HEALTH AND WELLNESS
- Practice address
- 1920 W 8TH St
Erie, PA 16505-4935 - Phone
- (814) 456-1097
- Fax
- (814) 287-9375
- NPI assigned
- Aug 8, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dominic Mariano Sciamanda, DO
- Title
- Owner
- Phone
- (814) 456-1097
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS018175 | PA | Primary |
Addresses
Primary practice location
1920 W 8TH St
Erie, PA 16505-4935
Mailing address
1920 W 8TH St
Erie, PA 16505-4935
Phone (814) 456-1097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Erie, PA
- NPI 1336107887
-
- Family Nurse Practitioner
- Erie, PA
- NPI 1851872410
-
- Family Medicine Physician
- Erie, PA
- NPI 1003477407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635984000000",
"number": "1902385255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 W 8TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054935",
"telephone_number": "814-456-1097",
"fax_number": "814-287-9375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 W 8TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165054935",
"telephone_number": "814-456-1097",
"fax_number": "814-287-9375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCIAMANDA TOTAL HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-08",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A",
"authorized_official_last_name": "SCIAMANDA",
"authorized_official_first_name": "DOMINIC",
"authorized_official_middle_name": "MARIANO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-456-1097",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "PA",
"license": "OS018175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.