LAKE ERIE MEDICAL GROUP PC – NPI #1053696997
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

LAKE ERIE MEDICAL GROUP PC is a provider located in ERIE, PA. NPPES has assigned the NPI number 1053696997 to LAKE ERIE MEDICAL GROUP PC on October 11, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. LAKE ERIE MEDICAL GROUP PC is also known by the name NIAGARA INTERNAL MEDICINE. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 5 years ago on Dec 15, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAKE ERIE MEDICAL GROUP PC below.

NPI Profile for
LAKE ERIE MEDICAL GROUP PC

NPI Number
1053696997
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAKE ERIE MEDICAL GROUP PC
Other Name: NIAGARA INTERNAL MEDICINE
Primary location
2501 W 12TH ST STE C10
ERIE, PA 16505-4527
Phone: (814) 580-5600 Fax: (814) 455-2584
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TAMARA HATT
SENIOR ENROLLMENT SPECIALIST
Phone: (814) 452-5772
Updated
Certification Date
Dec 15, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
208100000X
- Physical Medicine & Rehabilitation
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
145 W 23RD ST,
ERIE, PA 77025-1669