Jay Deimel, MD
Orthopaedic Surgery, Sports Medicine in Erie, PA. Individual provider (NPI-1).
NPI number1992948186
StatusActive
Last updated in NPPESApr 29, 2024
Details
- NPI
- 1992948186
- Entity type
- Individual (NPI-1)
- Name
- Jay Deimel
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2009
- Certification date
- Apr 29, 2024
- Last updated
- Apr 29, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - SPORTS MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | MD461322 | PA | Yes |
| 207X00000X | Orthopaedic Surgery | 125054632 | IL |
Practice location
2315 Myrtle St Ste L10Erie, PA 16502-4611
Phone 814-454-2401 · Fax 814-459-5992
Mailing address
2315 Myrtle St Ste L10Erie, PA 16502-4611
Phone 814-454-2401 · Fax 814-459-5992
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