Active NPI
Richard J Yanachik, ATC
- Athletic Trainer
- New Stanton, PA
National Provider Identifier
1578767679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000575B
- Practice address
- 630 Thermo Village Rd
New Stanton, PA 15672-9401 - Phone
- (724) 925-7007
- NPI assigned
- Jun 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000575B | PA | Primary |
Addresses
Primary practice location
630 Thermo Village Rd
New Stanton, PA 15672-9401
Mailing address
630 Thermo Village Rd
New Stanton, PA 15672-9401
Phone (724) 925-7007
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000575B | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578767679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 THERMO VILLAGE RD",
"city": "NEW STANTON",
"state": "PA",
"postal_code": "156729401",
"telephone_number": "724-925-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 THERMO VILLAGE RD",
"city": "NEW STANTON",
"state": "PA",
"postal_code": "156729401",
"telephone_number": "724-925-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANACHIK",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "000575B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Stanton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.