Active NPI
Richard F Drelick, P.A.-C
- Surgical Physician Assistant
- Franklin, PA
National Provider Identifier
1174517585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- MA000010L
- Practice address
- 150 Prospect Ave
Suite 12
Franklin, PA 16323-2542 - Phone
- (814) 437-6188
- Fax
- (814) 432-7663
- NPI assigned
- Aug 31, 2005
- Last updated
- Jul 9, 2010
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | MA000010L | PA | Primary |
Addresses
Primary practice location
150 Prospect Ave
Suite 12
Franklin, PA 16323-2542
Mailing address
150 Prospect Ave
Suite 12
Franklin, PA 16323-2542
Phone (814) 437-6188
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1174517585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PROSPECT AVE",
"address_2": "SUITE 12",
"city": "FRANKLIN",
"state": "PA",
"postal_code": "163232542",
"telephone_number": "814-437-6188",
"fax_number": "814-432-7663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 PROSPECT AVE",
"address_2": "SUITE 12",
"city": "FRANKLIN",
"state": "PA",
"postal_code": "163232542",
"telephone_number": "814-437-6188",
"fax_number": "814-432-7663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRELICK",
"first_name": "RICHARD",
"middle_name": "F",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PA",
"license": "MA000010L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franklin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.