Active NPI
Pattijo Edler, PA-C
- Physician Assistant
- Renovo, PA
National Provider Identifier
1861590523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA003524L
- Practice address
- 1001 Pine St
Renovo, PA 17764-1618 - Phone
- (570) 923-1019
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 21, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA003524L | PA | Primary |
Addresses
Primary practice location
1001 Pine St
Renovo, PA 17764-1618
Mailing address
1001 Pine St
Renovo, PA 17764-1618
Phone (570) 923-1019
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bestpractices of Pennsylvania PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Williamsport, PA
- NPI 1891724662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1861590523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 PINE ST",
"city": "RENOVO",
"state": "PA",
"postal_code": "177641618",
"telephone_number": "570-923-1019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PINE ST",
"city": "RENOVO",
"state": "PA",
"postal_code": "177641618",
"telephone_number": "570-923-1019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDLER",
"first_name": "PATTIJO",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA003524L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renovo, PA
- Bucktail Medical Center
- Bucktail Medical Center
- Bucktail Medical Center
- Centre Penn EMS
- D&S Haulman Enterprises LLC (Mountain View Pharmacy)
- Alan Evert Edwards, MD
- Firemans Ambulance Service Team
- Firemens Ambulance Service Team
- Frank L. Conly (Family Practice of Renovo)
- Quincey Sullivan George, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.