Active NPI
Michael Gerard Necas, MD
- Ophthalmology Physician
- Titusville, PA
National Provider Identifier
1174517445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD033477-E
- Practice address
- 107 E Bloss St
Titusville, PA 16354-2223 - Phone
- (814) 827-2736
- Fax
- (814) 827-2737
- NPI assigned
- Sep 1, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD033477-E | PA | Primary |
Addresses
Primary practice location
107 E Bloss St
Titusville, PA 16354-2223
Mailing address
107 E Bloss St
Titusville, PA 16354-2223
Phone (814) 827-2736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0070146340003 | Medicaid | PA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD033477-E | PA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189728000000",
"number": "1174517445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 E BLOSS ST",
"city": "TITUSVILLE",
"state": "PA",
"postal_code": "163542223",
"telephone_number": "814-827-2736",
"fax_number": "814-827-2737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E BLOSS ST",
"city": "TITUSVILLE",
"state": "PA",
"postal_code": "163542223",
"telephone_number": "814-827-2736",
"fax_number": "814-827-2737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NECAS",
"first_name": "MICHAEL",
"middle_name": "GERARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2007-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "PA",
"license": "MD033477-E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0070146340003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Titusville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.