Organization · NPI-2

360 Medical Group Pennsylvania PC

Family Medicine · Erie, PA

NPI number1033043856
StatusActive
Last updated in NPPESJun 9, 2026

Details

NPI
1033043856
Entity type
Organization (NPI-2)
Legal business name
360 Medical Group Pennsylvania PC
Organization subpart
No
Enumeration date
Jun 9, 2026
Certification date
Jun 9, 2026
Last updated
Jun 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

502 W 7th St Ste 100
Erie, PA 16502-1333

Phone 215-326-1602

Mailing address

502 W 7th St Ste 100
Erie, PA 16502-1333

Authorized official

James Villar
Administrator
7736451192

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Erie, PA