| Samuel Allen Fagenholz, MD | |
|
300 State St Ste 301, Erie, PA 16507-1430 | |
| (814) 877-7907 | |
| (814) 877-6791 |
| Full Name | Samuel Allen Fagenholz |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 300 State St Ste 301, Erie, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376549998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MD021621E (Pennsylvania) | Primary |
| 2080P0214X | Pediatrics - Pediatric Pulmonology | MD021621E (Pennsylvania) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Allen Fagenholz, MD 300 State St Ste 301, Erie, PA 16507-1430 Ph: (814) 877-7907 | Samuel Allen Fagenholz, MD 300 State St Ste 301, Erie, PA 16507-1430 Ph: (814) 877-7907 |
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 |