MEDICARE: MEDICAL ASSOCIATES OF ERIE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417247123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL ASSOCIATES OF ERIE

Provider Business Mailing Address
First Line	:	1 LECOM PL
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16505-2571
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3435 W LAKE RD
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16505-3661
Country	:	US
Telephone Number	:	814-835-6633
Fax Number	:	814-835-6637

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. DENNIS M STYN
Credential	:
Telephone Number	:	814-868-2504

Provider Enumeration Date	:	04/14/2011
Last Update Date	:	04/14/2011

Similar Medicare Providers

1992709489 — DR. WALLACE J ESPER DO
Practice Location Address:

3435 W LAKE RD
ERIE, PA
16505-3661

Practice Phone: 814-438-3854
Practice Fax: 814-438-2253

1346330131 — ROSANNE M PALERMO DMD
Practice Location Address:

3437 WEST LAKE RD
ERIE, PA
16505-3661

Practice Phone: 814-833-3001
Practice Fax: 814-833-4886

1811339161 — EHAB ALSHURBAJI MD
Practice Location Address:

2500 W 12TH ST STE C
ERIE, PA
16505-4500

Practice Phone: 814-877-8730
Practice Fax: 814-877-8731

1306249883 — RANDI MONTAGNA SACCO PA-C
Practice Location Address:

2500 W 12TH ST
ERIE, PA
16505-4500

Practice Phone: 814-838-9000
Practice Fax:

1932102829 — KENNETH R MINK MD
Practice Location Address:

3800 W 12TH ST
ERIE, PA
16505-3380

Practice Phone: 814-833-0399
Practice Fax: 814-833-4999

1508861949 — PAUL EUGENE SHIELDS DO
Practice Location Address:

2501 W 12TH ST , SUITE 1
ERIE, PA
16505-4527

Practice Phone: 814-806-1144
Practice Fax: 814-833-0659

Directions to “MEDICAL ASSOCIATES OF ERIE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.