Richard Wayne Mondak, MPAS PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA002019L Issued in PA

Practice address

510 Jamison Ave
Ellwood City, PA 16117-2590

Phone

(724) 716-6742

Fax

(724) 734-5798

NPI assigned

Oct 27, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1720078017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 JAMISON AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172590",
            "telephone_number": "724-716-6742",
            "fax_number": "724-734-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 JAMISON AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172590",
            "telephone_number": "724-716-6742",
            "fax_number": "724-734-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDAK",
        "first_name": "RICHARD",
        "middle_name": "WAYNE",
        "credential": "MPAS PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002019L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael K McFarland, PT
• Medicine Shoppe
• Michael George Metelsky, DPT
• Emily Mock, DNP, CRNP-BC
• Eric John Molyneaux, PHARMD
• Lenal Antoinette Morello, LISW-S
• Roni Morrow, COTA/L, CLT
• Kathleen Brooks Mulhollen, MS, CCC-SLP
• Shannon Lee Myers, CRNP
• Anastasia Marie Neil, DO

• Medical Physician Assistant in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.