Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Allen Fagenholz, MD

Individual provider Pediatrics Physician · NPI 1376549998

Samuel Allen Fagenholz, MD is a Pediatrics Physician in Erie, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

300 State St Ste 301
Erie, PA 16507-1430
Phone: (814) 877-7907
Fax: (814) 877-6791
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD021621E (PA)
Pediatric Pulmonology Physician Taxonomy 2080P0214X · Licence MD021621E (PA)

Record details

NPI number1376549998
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2005
Last updated in NPPESMarch 18, 2013

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