Active NPI
Richard Sy Sposito, DO
- Family Medicine Physician
- Fairview, PA
National Provider Identifier
1356360762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS010284L
- Practice address
- 7686 West Ridge Rd.
Fairview, PA 16415 - Phone
- (814) 474-2654
- Fax
- (814) 474-2656
- NPI assigned
- Jul 18, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS010284L | PA | Primary |
Addresses
Primary practice location
7686 West Ridge Rd.
Fairview, PA 16415
Mailing address
1 Lecom Place
Erie, PA 16505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018505010005 | Medicaid | PA |
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
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1356360762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LECOM PLACE",
"city": "ERIE",
"state": "PA",
"postal_code": "16505",
"fax_number": "814-868-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7686 WEST RIDGE RD.",
"city": "FAIRVIEW",
"state": "PA",
"postal_code": "16415",
"telephone_number": "814-474-2654",
"fax_number": "814-474-2656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOSITO",
"first_name": "RICHARD",
"middle_name": "SY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS010284L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018505010005",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairview, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.