Eric W Drennen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA057207 Issued in PA

Practice address

3110 Grant Ave
Philadelphia, PA 19114-2542

Phone

(215) 464-6600

NPI assigned

May 2, 2012

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Rothman Orthopaedics of New Jersey, LLC

  • Orthopaedic Surgery Physician
  • Marlton, NJ
  • NPI 1215978630
  Medicare reassignment NPD
• Rothman Institute of New Jersey, P.a.

  • Prosthetic/Orthotic Supplier
  • Manahawkin, NJ
  • NPI 1831611243
  NPD
• Advanced Spine and Pain, LLC

  • Pain Medicine Physician
  • Egg Harbor Township, NJ
  • NPI 1447885116
  NPD (past)
• Methodist Associates in Healthcare of New Jersey, P.C.

  • Internal Medicine Physician
  • Voorhees, NJ
  • NPI 1366814899
  NPD (past)

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1679831259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142542",
            "telephone_number": "215-464-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 GRANT AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142542",
            "telephone_number": "215-464-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENNEN",
        "first_name": "ERIC",
        "middle_name": "W",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Drechsel, DO
• Jennifer Maria Drechsler, MD
• Ellen Ruth Dreibelbis, AGACNP-BC
• Douglass Alan Drelich, M.D.
• Alexis Victoria Drennen, PA-C
• Shirley A Dressler, D.C.
• Drew Shulman, DMD, PC
• Heather Drew, MA, LPC
• Peter K Drew, CRNA
• Melanie Drewencki, LCSW

• Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.