Richard Angelico, MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

MD036604E Issued in PA

Practice address

2005 Fairview Ave
Suite a
Easton, PA 18042-3915

Phone

(610) 923-5200

Fax

(610) 923-5272

NPI assigned

Aug 23, 2005

Last updated

Sep 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: rangelico178826@direct-guthrie.org

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

• The Physician Network

  • Family Medicine Physician
  • Lincoln, NE
  • NPI 1437184652
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1447243753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 FAIRVIEW AVE",
            "address_2": "SUITE A",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423915",
            "telephone_number": "610-923-5200",
            "fax_number": "610-923-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 FAIRVIEW AVE",
            "address_2": "SUITE A",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423915",
            "telephone_number": "610-923-5200",
            "fax_number": "610-923-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELICO",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD036604E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011098480003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1684762",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS OF PA",
            "identifier": "1684762",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50045369",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anesthesia Associates of Easton, P C
• Anesthesia Consulting Inc
• Shakila Jagadish Angadi, D.D.S
• Angel Helpers Homecare, Inc
• Angela R. Schmoyer DMD, LLC
• Olivia Faith Angerman, PAC
• Isabelita Annulysse, CRNP
• Stephen Ansah-Addo, MD
• Anthony J. Callan O.D., L.L.C. (Dr. Callan's Family Eye Care)
• Brianna Antunes Dillard

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Easton, PA
• Providers in Easton, PA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.