| Niagara Internal Medicine | |
|
2501 W 12th St Ste C10 Erie PA 16505-4527 | |
| (814) 580-5600 | |
| (814) 455-2584 |
| Full Name | Niagara Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2501 W 12th St Ste C10, Erie, Pennsylvania |
| Authorized Official Name and Position | Tamara L Hatt (SENIOR ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 8144525772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Niagara Internal Medicine 2501 W 12th St Ste C10 Erie PA 16505-4527 Ph: (814) 580-5600 | Niagara Internal Medicine 2501 W 12th St Ste C10 Erie PA 16505-4527 Ph: (814) 580-5600 |
| NPI Number | 1053696997 |
|---|---|
| Provider Enumeration Date | 10/11/2011 |
| Last Update Date | 12/15/2020 |
| Medicare PECOS PAC ID | 0749457612 |
|---|---|
| Medicare Enrollment ID | O20120117000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053696997 | NPI | - | NPPES |
| Provider Name | Jason Kliatchko Estrada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184665119 PECOS PAC ID: 3274432901 Enrollment ID: I20040102000031 |
| Provider Name | Maribelle Gauna-estrada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093887200 PECOS PAC ID: 9335137785 Enrollment ID: I20040504000861 |
| Provider Name | Donald Unger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700824299 PECOS PAC ID: 0648242768 Enrollment ID: I20040810000414 |
| Provider Name | Stanley F Slabic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285626358 PECOS PAC ID: 5799754370 Enrollment ID: I20040930000148 |
| Provider Name | Mauro Quaglia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366483190 PECOS PAC ID: 5597738286 Enrollment ID: I20060112000638 |
| Provider Name | Ashraf Haggag |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790705994 PECOS PAC ID: 0042215535 Enrollment ID: I20060915000077 |
| Provider Name | Maged M Ghanem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306854948 PECOS PAC ID: 1850487232 Enrollment ID: I20071017000046 |
| Provider Name | Kelly Kopkowski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386839405 PECOS PAC ID: 8123193919 Enrollment ID: I20080813000361 |
| Provider Name | William R Betz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710941133 PECOS PAC ID: 4789618216 Enrollment ID: I20100104000104 |
| Provider Name | Jeffrey E Clemente |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336477058 PECOS PAC ID: 3779627567 Enrollment ID: I20100217000366 |
| Provider Name | John R Mingey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578514352 PECOS PAC ID: 0840269775 Enrollment ID: I20101102000754 |
| Provider Name | Abdelsalam M Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083628119 PECOS PAC ID: 6002915568 Enrollment ID: I20110119000785 |
| Provider Name | Navneet Bhullar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154364818 PECOS PAC ID: 4688696966 Enrollment ID: I20111109000391 |
| Provider Name | Jennifer Jocuns Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205958022 PECOS PAC ID: 3476711367 Enrollment ID: I20120223000378 |
| Provider Name | Mohamed A Jamaldeen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871737643 PECOS PAC ID: 2365602372 Enrollment ID: I20120329000270 |
| Provider Name | Joshua D Czerwinski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174813406 PECOS PAC ID: 4082878228 Enrollment ID: I20120619000469 |
| Provider Name | Pravinkumar B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962631242 PECOS PAC ID: 3971749680 Enrollment ID: I20130425000465 |
| Provider Name | Pooja Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821228644 PECOS PAC ID: 1052550688 Enrollment ID: I20130612000060 |
| Provider Name | Claude We Zeifman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962423004 PECOS PAC ID: 5698738441 Enrollment ID: I20130716000149 |
| Provider Name | Sonia Brar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487965364 PECOS PAC ID: 8224271168 Enrollment ID: I20130917000445 |
| Provider Name | Philip St. Julien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841580750 PECOS PAC ID: 1951545508 Enrollment ID: I20130920000336 |
| Provider Name | Leah M Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730524364 PECOS PAC ID: 2860781499 Enrollment ID: I20160829001481 |
| Provider Name | Kailey E Tarbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497202931 PECOS PAC ID: 2860770005 Enrollment ID: I20161024000641 |
| Provider Name | Jennifer K Potthoff |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427437896 PECOS PAC ID: 1254758014 Enrollment ID: I20200826000307 |
| Provider Name | Virinder Sidhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891292355 PECOS PAC ID: 0648522136 Enrollment ID: I20211109000027 |
| Provider Name | Mary Katherine Lasher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003477407 PECOS PAC ID: 1456735646 Enrollment ID: I20220907003657 |
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