Active NPI
Richard William Nagle, MD
- Diagnostic Radiology Physician
- Erie, PA
National Provider Identifier
1609875913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD028963E
- Practice address
- 201 State St
Erie, PA 16550-0002 - Phone
- (814) 877-6000
- Fax
- (814) 877-6149
- NPI assigned
- Jul 19, 2005
- Last updated
- May 12, 2008
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD028963E | PA | Primary |
Addresses
Primary practice location
201 State St
Erie, PA 16550-0002
Mailing address
717 State St
Suite 16
Erie, PA 16501-1341
Phone (814) 480-7100
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124311 | Other | PA | BLUE SHIELD |
| 147546 | Other | PA | UNISON - IMAGING CENTER |
| 666328 | Other | OH | OH MEDICAL ASSISTANCE |
| 1512635 | Other | PA | GATEWAY |
| 219069 | Other | PA | UPMC |
| 00940161 | Other | NY | NY MEDICAL ASSISTANCE |
| 086601 | Other | PA | UNISON - HAMOT RADIOLOGY |
| 1068842 | Other | WV | WEST VIRGINIA WORK COMP |
| 00025816801 | Other | NY | UNIVERA |
| 0010746260015 | Medicaid | PA | |
| 300104087 | Other | PA | RR MEDICARE |
| 3364045 | Other | PA | AETNA |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD028963E | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Services Inc | Past | Accepting new patients | |
| Upmc Hamot | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Erie, PA
- NPI 1174520654
-
- General Acute Care Hospital
- Erie, PA
- NPI 1538207394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1609875913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 STATE ST",
"address_2": "SUITE 16",
"city": "ERIE",
"state": "PA",
"postal_code": "165011341",
"telephone_number": "814-480-7100",
"fax_number": "814-480-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 STATE ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165500002",
"telephone_number": "814-877-6000",
"fax_number": "814-877-6149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGLE",
"first_name": "RICHARD",
"middle_name": "WILLIAM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD028963E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "124311",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON - IMAGING CENTER",
"identifier": "147546",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAL ASSISTANCE",
"identifier": "666328",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1512635",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "219069",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY MEDICAL ASSISTANCE",
"identifier": "00940161",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON - HAMOT RADIOLOGY",
"identifier": "086601",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST VIRGINIA WORK COMP",
"identifier": "1068842",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00025816801",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010746260015",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300104087",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3364045",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.