Richard T Meredick DPM PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC001634L Issued in PA

Legal business name

RICHARD T MEREDICK DPM PC

Practice address

201 N Main Ave
Scranton, PA 18504-3303

Phone

(570) 342-4009

Fax

(570) 342-4326

NPI assigned

Jan 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Richard T Meredick, DPMNPI 1558333591

Title

Owner

Phone

(570) 342-4009

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard T Meredick, DPM

  • Podiatrist
  • Scranton, PA
  • NPI 1558333591
  Medicare reassignment Care Compare group NPD Authorized official
• David J Flannery, DPM

  • Podiatrist
  • Scranton, PA
  • NPI 1205808250
  Medicare reassignment Care Compare group NPD
• Brian J Kobylus, DPM

  • Podiatrist
  • Scranton, PA
  • NPI 1922070960
  Medicare reassignment Care Compare group NPD
• Thomas William Mundorf, D.C.

  • Chiropractor
  • Mountain Top, PA
  • NPI 1083820708
  NPD (past)
• Michael Rogan, MD

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1114993227
  NPD (past)

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1902884745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185043303",
            "telephone_number": "570-342-4009",
            "fax_number": "570-342-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAIN AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185043303",
            "telephone_number": "570-342-4009",
            "fax_number": "570-342-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD T MEREDICK DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "MEREDICK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-342-4009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001634L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY",
            "identifier": "072412",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "480033867",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "10508",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4083187",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005056950001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Riccardo, PA-C
• Dawn Rice
• Chantal France Rich, LCSW
• Richard a. Brazon DDS
• Richard J. Burns, D.O., P.C.
• Richard Richards, CRNA
• Jamie Richardson
• Richard Joseph Richardson Jr., O.D.
• Jason Richmond, R.N.
• Alana Rickard, D.O

• Podiatrist in Scranton, PA
• Providers in Scranton, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.