Individual provider Active NPI

Ryan Flick, MD

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1962069872
Registry record updated May 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT217821 Issued in PA
Practice address
232 W 25TH St
Erie, PA 16544-0002
Phone
(814) 525-6742
NPI assigned
May 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT217821 PA Primary

Addresses

Primary practice location

232 W 25TH St
Erie, PA 16544-0002

Mailing address

3115 Highland Rd
Erie, PA 16506-3245

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
I20220902002782 PA Practitioner - Family Practice 4284018698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DLP Conemaugh Physician Practices LLCGroup PAC ID 7315166949, 286 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

1450 Scalp Ave
Suite 1000
Johnstown, PA 15904-3335
Phone (814) 269-5200

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

Hospital & facility affiliations

  • Conemaugh Home Health Home health agency, Johnstown, PA, CCN 397406
  • Windber Hospice Hospice, Windber, PA, CCN 391541
  • Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110
  • Chan Soon- Shiong Medical Center at Windber Hospital, Windber, PA, CCN 390112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT217821PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Sep 1, 2022 Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine Current Accepting new patients
DLP Conemaugh Physician Practices LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Conemaugh Health Initiatives Past Accepting new patients

Locations

1450 Scalp Ave
Ste 3B
Johnstown, PA 15904
Phone (814) 266-8928

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1450 Scalp Ave
Ste 1000
Johnstown, PA 15904
Phone (814) 269-5200

1450 Scalp Ave
Johnstown, PA 15904
Phone (814) 266-1189

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: rflick46526@direct.conemaugh.org

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558828800000",
    "number": "1962069872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 HIGHLAND RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W 25TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165440002",
            "telephone_number": "814-525-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLICK",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-26",
        "last_updated": "2019-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT217821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.