SAMUEL ALLEN FAGENHOLZ MD
NPI 1376549998
Pediatrics in Erie, PA

Active since June 28, 2005
300 STATE ST STE 301, ERIE, PA 16507(814) 877-7907(814) 877-6791 Get Directions Write a Review

NPPES record last updated: March 18, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Allen Fagenholz Md NPPES

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

SAMUEL ALLEN FAGENHOLZ MD (NPI 1376549998) is an individual pediatrics provider in Erie, Pennsylvania, licensed in Pennsylvania (MD021621E) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1376549998
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameSAMUEL ALLEN FAGENHOLZCredential: MD
Location Address300 STATE ST STE 301Erie, PA 16507-1430
Mailing Address300 State St Ste 301Erie, PA 16507-1430 · (814) 877-7907 · Fax (814) 877-6791
Fax(814) 877-6791
Sole ProprietorNo
Enumeration DateJune 28, 2005
Last NPPES UpdateMarch 18, 2013
NPI 1376549998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in PA · MD021621E
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X · License MD021621E (PA)
300 STATE ST STE 301, Erie, PA 16507

Other Identifiers 1

Medicare UPINE63542

Other Providers at the Same Location NPPES 4

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

Physician Assistant (Medical)
300 STATE ST STE 301
ERIE, PA 16507
Pediatrics
300 STATE ST STE 301, SUITE 301
ERIE, PA 16507
Pediatrics
300 STATE ST STE 301
ERIE, PA 16507
Nurse Practitioner (Family)
300 STATE ST STE 301
ERIE, PA 16507

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 Samuel Fagenholz's NPI number?

The NPI number for Samuel Fagenholz is 1376549998. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Samuel Fagenholz located?

Samuel Fagenholz practices at 300 State St Ste 301, Erie, PA 16507. The listed phone number is (814) 877-7907.

What is Samuel Fagenholz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Samuel Fagenholz was last updated on March 18, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.