1316951791 NPI number — MICHAEL E. DRESPLING DPM

Table of content: (NPI 1942331335)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316951791 NPI number — MICHAEL E. DRESPLING DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DRESPLING
Provider First Name:
MICHAEL
Provider Middle Name:
E.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316951791
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3100 WILMINGTON ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW CASTLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16105-1168
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-658-5201
Provider Business Mailing Address Fax Number:
724-658-1159

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3100 WILMINGTON ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16105-1168
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-658-5201
Provider Business Practice Location Address Fax Number:
724-658-1159
Provider Enumeration Date:
07/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  SC001775L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 13496 . This is a "HEALTH ASSURANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3236 . This is a "PPMA MEMBER ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 62622 . This is a "MEDPLUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 940613 . This is a "FOCUS HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1037396 . This is a "GATEWAY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0005010880005 . This is a "WELFARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 251328194 . This is a "TAX ID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 486616 . This is a "WESTMORELAND" identifier . This identifiers is of the category "OTHER".
  • Identifier: 62623 . This is a "HEALTH AMERICA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 200740 . This is a "BEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 480013914 . This is a "UHC RR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 659207 . This is a "YDC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0005010880005 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 135916 . This is a "BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: SC001775L . This is a "LICENSE" identifier . This identifiers is of the category "OTHER".




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