RICHARD LEWIS IRVING MHS PA-C NPI 1396787917

NPI Information

NPI: 1396787917
Provider Name: RICHARD LEWIS IRVING, MHS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
3401 N BROAD ST
PHILADELPHIA, PA
ZIP 19140
Phone: (215) 707-3133
Get Directions

Richard Lewis Irving, MHS, PA-C is a surgical physician assistant in Philadelphia, PA with 19 years of experience. Richard Lewis Irving, MHS, PA-C NPI is 1396787917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3401 N BROAD ST
PHILADELPHIA, PA
ZIP 19140-103
Phone: (215) 707-3133
Fax: (215) 707-3945

The NPI 1396787917 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 5/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	MA052325	PENNSYLVANIA	No
2	363AS0400X	Physician Assistant	Surgical	0010-00728	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q62390	MEDICARE UPIN
2	2767884	MEDICARE PIN	NORTH CAROLINA
3	097773FP6	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	HGSA
4	0476PA	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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