Individual provider Active NPI

John Patrick Flaherty, D.O.

  • Emergency Medicine Physician
  • Meadville, PA
National Provider Identifier
1952715633
Registry record updated Jun 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
019236 Issued in PA
Practice address
751 Liberty St
Meadville, PA 16335
Phone
(207) 317-0119
NPI assigned
Jun 20, 2014
Last updated
Jun 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 019236 PA Primary

Addresses

Primary practice location

751 Liberty St
Meadville, PA 16335

Mailing address

2314 Sassafras St
3Rd Floor
Erie, PA 16502-2722
Phone (814) 452-5105

Other practice location 1

2314 Sassafras St
3rd Floor
Erie, PA 16502-2722
Phone (814) 452-5105

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180608001233 PA Practitioner - Emergency Medicine 4183911357 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019236PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Titusville Area Hospital Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Titusville Area Hospital CurrentSince Dec 1, 2023 Accepting new patients
Ahn Emergency Group of Erie County LTD. Emergency Medicine CurrentSince Apr 6, 2020 Accepting new patients
Ahn Observation Group LLC Emergency Medicine CurrentSince May 16, 2023 Accepting new patients
Meadville Clinical Pathologists, Inc Current Accepting new patients
Meadville Medical Center Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Meadville Medical Center CurrentSince Dec 1, 2023 Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

565 Coal Valley Rd
Jefferson Hls, PA 15025
Phone (412) 469-5308

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529798400000",
    "number": "1952715633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 SASSAFRAS ST",
            "address_2": "3RD FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165022722",
            "telephone_number": "814-452-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 LIBERTY ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "16335",
            "telephone_number": "207-317-0119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2314 Sassafras St",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165022722",
            "country_code": "US",
            "telephone_number": "814-452-5105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-20",
        "last_updated": "2018-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "019236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.