Alaaeldin A Omar, MD | |
1611 Peach St, Erie, PA 16501-2109 | |
(814) 454-2891 | |
(814) 464-9480 |
Full Name | Alaaeldin A Omar |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1611 Peach St, Erie, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811976020 | NPI | - | NPPES |
0019211760008 | Medicaid | PA | |
1701897 | Other | PA | HIGHMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MD419696 (Pennsylvania) | Secondary |
208000000X | Pediatrics | MD419696 (Pennsylvania) | Primary |
Entity Name | St Vincent Medical Education And Research Institute Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902881477 PECOS PAC ID: 3870405137 Enrollment ID: O20031104000576 |
Mailing Address | Practice Location Address |
---|---|
Alaaeldin A Omar, MD 232 W 25th St, Erie, PA 16544-0002 Ph: (814) 452-5853 | Alaaeldin A Omar, MD 1611 Peach St, Erie, PA 16501-2109 Ph: (814) 454-2891 |
Joseph C Barber, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 232 W 25th St, Erie, PA 16544 Phone: 814-452-5216 Fax: 814-452-7005 | |
Cynthia Weibel, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3580 Peach St, Suite 100, Erie, PA 16508 Phone: 814-868-9633 | |
Dr. Lynne M Birkmeyer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1202 State St, Erie, PA 16501 Phone: 814-454-4530 | |
Michael Balsan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 201 State St, Nicu Department, Erie, PA 16550 Phone: 814-877-6000 | |
Shannon Moore, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 State St, Suite 301, Erie, PA 16507 Phone: 814-877-7907 | |
Maria Irma Santos Leonard, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4022 Zuck Rd, Erie, PA 16506 Phone: 814-877-5424 Fax: 814-877-5423 | |
Sant Ram, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2123 W 8th St, Erie, PA 16505 Phone: 814-453-5056 |