NPIMap

Organization Active NPI

Erie Physicians Network PC

  • Multi-Specialty Clinic/Center
  • Erie, PA
National Provider Identifier
1902844574
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ERIE PHYSICIANS NETWORK PC
Practice address
3535 Pine Ave
1St Floor
Erie, PA 16504-1743
Phone
(814) 456-5469
Fax
(814) 453-2698
NPI assigned
Jun 3, 2006
Last updated
Nov 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Dr. Philip M Cacchione, DONPI 1063412732
Title
President
Phone
(814) 454-3363

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)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3535 Pine Ave
1St Floor
Erie, PA 16504-1743

Mailing address

3535 Pine Ave
1St Floor
Erie, PA 16504-1743
Phone (814) 456-5469

Other identifiers 1

IdentifierTypeStateIssuer
100746851MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1902844574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PINE AVE",
            "address_2": "1ST FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041743",
            "telephone_number": "814-456-5469",
            "fax_number": "814-453-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PINE AVE",
            "address_2": "1ST FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041743",
            "telephone_number": "814-456-5469",
            "fax_number": "814-453-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIE PHYSICIANS NETWORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "CACCHIONE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-454-3363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100746851",
            "state": "PA"
        }
    ],
    "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 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.