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NIAGARA INTERNAL MEDICINE
NPI 1053696997
Internal Medicine in Erie, PA

Active since October 11, 2011
2501 W 12TH ST STE C10, ERIE, PA 16505(814) 580-5600(814) 455-2584 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2020, Oct 6, 2020, Jan 31, 2017 (3 updates tracked since 2017).

About Niagara Internal Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIAGARA INTERNAL MEDICINE (NPI 1053696997) is a healthcare organization registered as an internal medicine in Erie, Pennsylvania and active in the NPI registry since October 2011. The organization lists Tamara L Hatt, Senior Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1053696997
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKE ERIE MEDICAL GROUP PC
Location Address2501 W 12TH ST STE C10Erie, PA 16505-4527
Mailing Address2501 W 12th St Ste C10Erie, PA 16505-4527 · (814) 580-5600 · Fax (814) 455-2584
Phone(814) 580-5600
Fax(814) 455-2584
Organization SubpartNo
Authorized OfficialTamara L HattSenior Enrollment Specialist · (814) 452-5772
Enumeration DateOctober 11, 2011
Last NPPES UpdateDecember 15, 20203 updates tracked since enumeration
NPPES CertifiedDecember 15, 2020
✔ NPI 1053696997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
2501 W 12TH ST STE C10, Erie, PA 16505
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Other Names 1

Other NameNiagara Internal Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLLEEN RZOMP CRNP
Nurse Practitioner
2501 W 12TH ST STE C10
ERIE, PA 16505
Erie County (814) 452-7879
KELLY MARIE KOPKOWSKI DO
Physical Medicine & Rehabilitation
2501 W 12TH ST STE C10
ERIE, PA 16505
Erie County (814) 580-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Erie Medical Group PC's NPI number?

The NPI number for Lake Erie Medical Group PC is 1053696997. It was assigned to this organization in the NPPES registry on October 11, 2011. The provider is also known as Niagara Internal Medicine.

Where is Lake Erie Medical Group PC located?

Lake Erie Medical Group PC is located at 2501 W 12th St Ste C10, Erie, PA 16505. The listed phone number is (814) 580-5600.

What is Lake Erie Medical Group PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Lake Erie Medical Group PC was last updated on December 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.