Active NPI
Richard W Mellinger, M.D.
- Internal Medicine Physician
- Ephrata, PA
National Provider Identifier
1689680738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD016027E
- Practice address
- 446 N Reading Rd
Suite 301
Ephrata, PA 17522-9802 - Phone
- (717) 733-6546
- Fax
- (717) 733-6010
- NPI assigned
- Jul 31, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD016027E | PA | Primary |
Addresses
Primary practice location
446 N Reading Rd
Suite 301
Ephrata, PA 17522-9802
Mailing address
446 N Reading Rd
Suite 301
Ephrata, PA 17522-9802
Phone (717) 733-6546
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50051214 | Other | PA | CAPITAL BLUE |
| 161468 | Other | PA | FREEDOM BLUE |
| P00261140 -GRPDD6938 | Other | PA | RAILROAD MEDICARE |
| 0650990 | Medicaid | PA | |
| 161468 | Other | PA | BLUE SHIELD |
| P002456 | Other | PA | GATEWAY ASSURED |
| P002456 | Other | PA | GATEWAY |
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 |
|---|---|---|---|
| MD016027E | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349913600000",
"number": "1689680738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 N READING RD",
"address_2": "SUITE 301",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175229802",
"telephone_number": "717-733-6546",
"fax_number": "717-733-6010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 N READING RD",
"address_2": "SUITE 301",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175229802",
"telephone_number": "717-733-6546",
"fax_number": "717-733-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLINGER",
"first_name": "RICHARD",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2012-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD016027E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE",
"identifier": "50051214",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM BLUE",
"identifier": "161468",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00261140 -GRPDD6938",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0650990",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "161468",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY ASSURED",
"identifier": "P002456",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "P002456",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.