Individual provider Active NPI

Richard F Drelick, P.A.-C

  • Surgical Physician Assistant
  • Franklin, PA
National Provider Identifier
1174517585
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA000010L Issued in PA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.