Individual provider Active NPI

Richard T. Husband, D.O.

  • Family Medicine Physician
  • Troy, PA
National Provider Identifier
1972618031
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS-005056-L Issued in PA
Practice address
45 Mud Creek Rd
Troy, PA 16947-9529
Phone
(570) 297-3746
Fax
(570) 297-5127
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS-005056-L PA Primary

Addresses

Primary practice location

45 Mud Creek Rd
Troy, PA 16947-9529

Mailing address

40 W Wellsboro St
Mansfield, PA 16933-1411
Phone (570) 662-1945

Other identifiers 2

IdentifierTypeStateIssuer
03512232MedicaidNY
000953264MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004000015 PA Practitioner - Family Practice 4880640242 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS-005056-LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Penn Comprehensive Health Services CurrentSince May 30, 2021 Accepting new patients
North Penn Comprehensive Health Services Family Medicine CurrentSince May 30, 2021 Accepting new patients
Arnot Medical Services PLLC Family Medicine CurrentSince Apr 1, 2012 Accepting new patients
Chemung Medical Services PC Family Medicine CurrentSince Mar 29, 2005 Accepting new patients

Locations

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050

40 W Wellsboro St
Mansfield, PA 16933
Phone (570) 662-1945

45 Mud Creek Rd
Troy, PA 16947
Phone (570) 297-3746

7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1972618031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W WELLSBORO ST",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331411",
            "telephone_number": "570-662-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MUD CREEK RD",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169479529",
            "telephone_number": "570-297-3746",
            "fax_number": "570-297-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSBAND",
        "first_name": "RICHARD",
        "middle_name": "T.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-005056-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03512232",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000953264",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, PA

Sources for this page

Verify at the official NPI Registry.