Individual provider Active NPI

Richard Eugene Hulse Jr., DC

  • Chiropractor
  • Erie, PA
National Provider Identifier
1184782559
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005135L Issued in PA
Practice address
1009 E 38TH St
Erie, PA 16504-1843
Phone
(814) 824-6442
Fax
(814) 824-4007
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC005135L PA Primary

Addresses

Primary practice location

1009 E 38TH St
Erie, PA 16504-1843

Mailing address

1009 E 38TH St
Erie, PA 16504-1843
Phone (814) 824-6442

Other identifiers 2

IdentifierTypeStateIssuer
1585618MedicaidPA
700874OtherUPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080703000356 PA Practitioner - Chiropractic 2062584279 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC005135LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Multi-Cultural Health Evaluation Delivery Systems Inc CurrentSince Jul 1, 2023 Accepting new patients
Great Lakes Family Chiropractic Center,PC Chiropractor CurrentSince Mar 5, 2008 Accepting new patients

Locations

2743 E 38th St
Erie, PA 16510
Phone (814) 824-6442

2928 Peach St
Erie, PA 16508
Phone (814) 452-6229

1009 E 38th St
Erie, PA 16504
Phone (814) 602-3833

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1184782559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041843",
            "telephone_number": "814-824-6442",
            "fax_number": "814-824-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041843",
            "telephone_number": "814-824-6442",
            "fax_number": "814-824-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSE",
        "first_name": "RICHARD",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005135L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1585618",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "700874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.