Individual provider Active NPI

Eric A Runquist, PA-C

  • Surgical Physician Assistant
  • Langhorne, PA
National Provider Identifier
1285057026
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA001381L Issued in PA
Practice address
1201 Newtown-Langhorne Rd
St Mary Medical Center Operating Room
Langhorne, PA 19047-1306
Phone
(215) 710-2000
NPI assigned
Jan 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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 MA001381L PA Primary

Addresses

Primary practice location

1201 Newtown-Langhorne Rd
St Mary Medical Center Operating Room
Langhorne, PA 19047-1306

Mailing address

695 US Highway 46
Ste 400a
Fairfield, NJ 07004-1568
Phone (973) 826-8291

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

State licenses

LicenseStateTypeSpecialty
MA001381LPAMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1285057026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 US HIGHWAY 46",
            "address_2": "STE 400A",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041568",
            "telephone_number": "973-826-8291",
            "fax_number": "888-972-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NEWTOWN-LANGHORNE RD",
            "address_2": "ST MARY MEDICAL CENTER OPERATING ROOM",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471306",
            "telephone_number": "215-710-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNQUIST",
        "first_name": "ERIC",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-30",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA001381L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.