Richard Wayne Mondak in Ellwood City - Medical
Richard Wayne Mondak - NPI 1720078017
Richard Wayne Mondak is a Medical in Ellwood City, Pennsylvania. Richard Wayne Mondak practices all healthcare services and medical treatments related to Medical. The NPI Number for Richard Wayne Mondak is 1720078017. The last update date is 2016-11-29.
Richard Wayne Mondak's current location address is 510 Jamison Ave, Ellwood City, Pennsylvania. You can contact this provider via phone number 7247166742 and fax number 7247345798. The mailing address for Richard Wayne Mondak is 510 Jamison Ave, Ellwood City, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Wayne Mondak |
|---|---|
| Address | 510 Jamison Ave, Ellwood City, Pennsylvania |
| Phone Number | 7247166742 |
| Fax Number | 7247345798 |
| Sole Proprietor | N |
| Credentials | MPAS PA-C |
NPI Number Detail
| NPI Number | 1720078017 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2016-11-29 |
Provider Mailing Address Detail
| Address | 510 Jamison Ave |
|---|---|
| City | Ellwood City |
| State | Pennsylvania (PA) |
| Post Code | 161172590 |
| Phone Number | 7247166742 |
| Fax Number | 7247345798 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | MA002019L |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique identification code assigned to Richard Wayne Mondak by the Centers for Medicare & Medicaid Services?
The Richard Wayne Mondak has been issued the NPI (National Provider Identifier) 1720078017. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Richard Wayne Mondak located?
The Richard Wayne Mondak is located at 510 Jamison Ave, Ellwood City, PA 161172590.
What is Richard Wayne Mondak's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Richard Wayne Mondak is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Richard Wayne Mondak receive its 1720078017 assignment from the Centers for Medicare & Medicaid Services?
The Richard Wayne Mondak was assigned its 1720078017 by the Centers for Medicare & Medicaid Services on 2005-10-27.
When was the information pertaining to Richard Wayne Mondak most recently updated or revised?
The details related to Richard Wayne Mondak, including its address, specialty, and other relevant information, were last updated or revised on 2016-11-29.
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