ERIE CLINIC PROFESSIONAL SERVICES
NPI 1548717572
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Erie, PA

NPI Status: Active since September 07, 2016

Contact Information

1645 W 8TH ST
ERIE, PA
ZIP 16505
Phone: (814) 875-8700

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  • Organization
  • Orthopaedic Surgery
  • Pediatric Orthopaedic Surgery
  • CLIA Number: 39D2038166
  • CLIA Cert. Type: Other - OUTPT CLINIC
  • CLIA Exp. Date: 03-13-2028

About ERIE CLINIC PROFESSIONAL SERVICES

This page provides the complete NPI Profile along with additional information for Erie Clinic Professional Services, a provider established in Erie, Pennsylvania operating as a Orthopaedic Surgery, focusing in pediatric orthopaedic surgery . The healthcare provider is registered in the NPI registry with number 1548717572 assigned on September 2016. The practitioner's primary taxonomy code is 207XP3100X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Erie Clinic Professional Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Erie Clinic Professional Services. The authorized official of this NPI record is Mary Jane Antoon (Administrator)

NPI
1548717572
Provider Legal Name
SHRINERS HOSPITALS FOR CHILDREN
Other Organization Name
ERIE CLINIC PROFESSIONAL SERVICES
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1645 W 8TH ST ERIE, PA 16505
Location Phone
(814) 875-8700
Mailing Address
PO BOX 8500 LOCKBOX #7642 PHILADELPHIA, PA 19178
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-07-2016
Last Update Date
03-14-2017
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Pediatric Orthopaedic Surgery

Taxonomy Code
207XP3100X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY JANE ANTOON

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(814) 875-8733

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2038166
Facility Type
Other - OUTPT CLINIC
Certificate Effective Date
March 14, 2026
Certificate Expiration Date
March 13, 2028
Laboratory Director
DR. JENNIFER M. NABER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Erie Clinic Professional Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1548717572, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
4
Doubled → 8
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 7 → 14 → 5 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 8 + 8 + 1 + 4 + 1 + 1 + 4 + 5 + 1 + 4 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1548717572.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Special Hospital
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505
Occupational Therapist (Pediatrics)
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505
Occupational Therapist
1645 W 8TH ST
ERIE, PA 16505
Occupational Therapist (Pediatrics)
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505
Audiologist
1645 W 8TH ST, #200
ERIE, PA 16505
Audiologist
1645 W 8TH ST, #200
ERIE, PA 16505
Audiologist
1645 W 8TH ST, #200
ERIE, PA 16505
Occupational Therapist (Pediatrics)
1645 W 8TH ST
ERIE, PA 16505
Otolaryngology
1645 W 8TH ST, SUITE 200
ERIE, PA 16505
Audiologist
1645 W 8TH ST, #200
ERIE, PA 16505
Occupational Therapist
1645 W 8TH ST
ERIE, PA 16505
Speech-Language Pathologist
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505
Physical Therapist
1645 W 8TH ST
ERIE, PA 16505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548717572, enumerated as an "organization" on September 07, 2016.

The provider is located at 1645 W 8TH ST ERIE, PA 16505 and the phone number is (814) 875-8700.

Orthopaedic Surgery with taxonomy code 207XP3100X and a focus in Pediatric Orthopaedic Surgery.