ERIE MEDICAL SPECIALTY CLINIC, PC
NPI 1861525263
Specialist in Erie, PA

Active since March 14, 2007
104 E 2ND ST, THIRD FLOOR, ERIE, PA 16507(814) 877-5564(814) 877-5561 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About ERIE MEDICAL SPECIALTY CLINIC, PC

This page provides the complete NPI Profile along with additional information for Erie Medical Specialty Clinic, Pc, a provider established in Erie, Pennsylvania operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1861525263 assigned on March 2007. The practitioner's primary taxonomy code is 174400000X with license number MD025800E (PA). The provider is registered as an organization and their NPI record was last updated 6 years ago. Erie Medical Specialty Clinic, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Miss Marybeth Martin (Manager, Clinical Assistant)

NPI
1861525263 Verify this NPI
Provider Name
ERIE MEDICAL SPECIALTY CLINIC, PC
Entity Type
Organization
Location Address
104 E 2ND ST THIRD FLOOR ERIE, PA 16507
Location Phone
(814) 877-5564
Location Fax
(814) 877-5561
Mailing Address
104 E 2ND ST THIRD FLOOR ERIE, PA 16507
Mailing Phone
(814) 877-5564
Mailing Fax
(814) 877-5561
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-14-2007
Last Update Date
08-22-2020
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MD025800E
License State
PA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

MISS MARYBETH MARTIN

Authorized Official Title
MANAGER, CLINICAL ASSISTANT
Authorized Official Phone
(814) 877-5564

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
104 E 2ND ST, 3RD FLOOR
ERIE, PA 16507
Obstetrics & Gynecology
104 E 2ND ST, 3RD FLOOR
ERIE, PA 16507
Family Medicine
104 E 2ND ST, 8TH FLOOR
ERIE, PA 16507
Clinical Medical Laboratory
104 E 2ND ST, 5TH FLOOR
ERIE, PA 16507
Family Medicine
104 E 2ND ST
ERIE, PA 16507
Surgery
104 E 2ND ST, 7TH FLOOR
ERIE, PA 16507
Internal Medicine (Infectious Disease)
104 E 2ND ST, 4TH FLOOR
ERIE, PA 16507
Radiology (Diagnostic Radiology)
104 E 2ND ST, 5TH FLOOR
ERIE, PA 16507

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861525263, enumerated as an "organization" on March 14, 2007.

The provider is located at 104 E 2ND ST THIRD FLOOR ERIE, PA 16507 and the phone number is (814) 877-5564.

Specialist with taxonomy code 174400000X.