Individual provider Active NPI

Linda D'Eramo, D.O.

  • Family Medicine Physician
  • Moon Township, PA
National Provider Identifier
1902929359
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS014611 Issued in PA
Practice address
928 Brodhead Rd
Unit B, First Floor
Moon Township, PA 15108-2375
Phone
(412) 400-8874
Fax
(412) 264-5082
NPI assigned
Apr 9, 2007
Last updated
Apr 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS014611 PA Primary
General Practice Physician 208D00000X 58-002055 OH

Addresses

Primary practice location

928 Brodhead Rd
Unit B, First Floor
Moon Township, PA 15108-2375

Mailing address

203 Nottingham Dr
Coraopolis, PA 15108-3234
Phone (412) 400-8874

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58-002055OHMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1902929359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 NOTTINGHAM DR",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151083234",
            "telephone_number": "412-400-8874",
            "fax_number": "412-264-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BRODHEAD RD",
            "address_2": "UNIT B, FIRST FLOOR",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082375",
            "telephone_number": "412-400-8874",
            "fax_number": "412-264-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ERAMO",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014611",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "58-002055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.