Richard a. Mercurio MD, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD031126E Issued in PA

Legal business name

RICHARD A. MERCURIO MD, INC

Practice address

198 Westgate Drive
Suite 101a
Kittanning, PA 16201-8904

Phone

(724) 543-1735

NPI assigned

Apr 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard A Mercurio, MD

Title

Owner

Phone

(724) 543-1735

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1043436553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 WESTGATE DRIVE",
            "address_2": "SUITE 101A",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162018904",
            "telephone_number": "724-543-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 WESTGATE DRIVE",
            "address_2": "SUITE 101A",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162018904",
            "telephone_number": "724-543-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. MERCURIO MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "MERCURIO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-543-1735",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD031126E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007822999 0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Kittanning, PA
• Providers in Kittanning, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.