Active NPI
Philip L Rice, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- State College, PA
National Provider Identifier
1902800501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD060088L
- Practice address
- 100 Radnor Rd
Suite 201
State College, PA 16801-7986 - Phone
- (814) 238-2616
- Fax
- (814) 238-0541
- NPI assigned
- Jun 10, 2005
- 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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD060088L | PA | Primary |
Addresses
Primary practice location
100 Radnor Rd
Suite 201
State College, PA 16801-7986
Mailing address
100 Radnor Rd
Suite 201
State College, PA 16801-7986
Phone (814) 238-2616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016582690003 | Medicaid | PA |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD060088L | PA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306627200000",
"number": "1902800501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 RADNOR RD",
"address_2": "SUITE 201",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017986",
"telephone_number": "814-238-2616",
"fax_number": "814-238-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RADNOR RD",
"address_2": "SUITE 201",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168017986",
"telephone_number": "814-238-2616",
"fax_number": "814-238-0541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "PHILIP",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2011-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "PA",
"license": "MD060088L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016582690003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.