VILLAGE SURGICENTER OF ERIE
NPI 1972508174
Clinic/Center - Ambulatory Surgical in Erie, PA

Active since June 15, 2005CLIA 39D0963978 · Waiver
5473 VILLAGE COMMON DR, STE 100, ERIE, PA 16506(814) 836-0770(814) 836-0771 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 17, 2023, Feb 27, 2020, Nov 21, 2016 (3 updates tracked since 2016).

About Village Surgicenter Of Erie NPPES

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

VILLAGE SURGICENTER OF ERIE (NPI 1972508174) is a healthcare organization registered as an ambulatory surgical in Erie, Pennsylvania and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Jennifer B. Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1972508174
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameVILLAGE SURGICENTER, LIMITED PARTNERSHIP
Location Address5473 VILLAGE COMMON DR, STE 100Erie, PA 16506-4961
Mailing Address5473 Village Common Dr, Ste 100Erie, PA 16506-4961 · (814) 836-0770 · Fax (814) 836-0771
Fax(814) 836-0771
Organization SubpartNo
Authorized OfficialJennifer B. BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateJune 15, 2005
Last NPPES UpdateFebruary 17, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
NPI 1972508174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in PA · 11001500
5473 VILLAGE COMMON DR, Erie, PA 16506

Other Names 1

Doing Business AsVillage Surgicenter Of Erie

Other Identifiers 1

Medicaid0017687800002PA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0963978

Village Surgicenter · Erie, PA
Active · expires May 15, 2028
CLIA Number39D0963978
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorDr. Joel Eidbo
Laboratory Phone(814) 836-0770
Laboratory LocationVillage Surgicenter5473 Village Common Drive, Erie, PA 16506
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
544 services95 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
280 services187 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
149 services143 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
144 services142 patients
Correction of toe joint deformity 28285
Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.
39 services26 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
38 services19 patients

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.

Surgery
5473 VILLAGE COMMON DR, SUITE 201
ERIE, PA 16506
Urology
5473 VILLAGE COMMON DR, SUITE 201
ERIE, PA 16506
Surgery
5473 VILLAGE COMMON DR, SUITE 201
ERIE, PA 16506
Clinic/Center (Magnetic Resonance Imaging (MRI))
5473 VILLAGE COMMON DR, STE 207
ERIE, PA 16506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972508174, enumerated as an "organization" on June 15, 2005.

The provider is located at 5473 VILLAGE COMMON DR STE 100 ERIE, PA 16506 and the phone number is (814) 836-0770.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.