Active NPI
David P Jedlicka, AU.D.
- Audiologist
- Pittsburgh, PA
National Provider Identifier
1013236017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AT006158
- Practice address
- 7180 Highland Dr
Building 2, Audiology, 132 a-H
Pittsburgh, PA 15206-1206 - Phone
- (412) 954-4647
- NPI assigned
- Jun 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AT006158 | PA | Primary |
Addresses
Primary practice location
7180 Highland Dr
Building 2, Audiology, 132 a-H
Pittsburgh, PA 15206-1206
Mailing address
1155 Prospect Rd
Evans City, PA 16033-3919
Phone (724) 822-6356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006158 | PA | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275350400000",
"number": "1013236017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 PROSPECT RD",
"city": "EVANS CITY",
"state": "PA",
"postal_code": "160333919",
"telephone_number": "724-822-6356",
"fax_number": "412-954-4630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7180 HIGHLAND DR",
"address_2": "BUILDING 2, AUDIOLOGY, 132 A-H",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152061206",
"telephone_number": "412-954-4647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEDLICKA",
"first_name": "DAVID",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-01",
"last_updated": "2010-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PA",
"license": "AT006158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.