Ronald Trkula, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

4102 Issued in PA

Practice address

174 McGovern Blvd
Crescent, PA 15046-5312

Phone

(724) 457-2490

Fax

(724) 457-3806

NPI assigned

Dec 4, 2006

Last updated

Feb 10, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1306904362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 MCGOVERN BLVD",
            "city": "CRESCENT",
            "state": "PA",
            "postal_code": "150465312",
            "telephone_number": "724-457-2490",
            "fax_number": "724-457-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 MCGOVERN BLVD",
            "city": "CRESCENT",
            "state": "PA",
            "postal_code": "150465312",
            "telephone_number": "724-457-2490",
            "fax_number": "724-457-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRKULA",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "4102",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "18675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Crescent, PA
• Providers in Crescent, PA by specialty
• Sports Physician Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.