MR. DANIEL RAY THRUSH ATC PA-C NPI 1518901628

NPI Information

NPI: 1518901628
Provider Name: MR. DANIEL RAY THRUSH, ATC, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
500 UNIVERSITY DR
MC A410
HERSHEY, PA
ZIP 17033
Phone: (800) 243-1455
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MR. Daniel Ray Thrush, ATC, PA-C is a surgical physician assistant in Hershey, PA. MR. Daniel Ray Thrush, ATC, PA-C NPI is 1518901628. 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:

500 UNIVERSITY DR
MC A410
HERSHEY, PA
ZIP 17033-360
Phone: (800) 243-1455
Fax: (717) 531-3708

The NPI 1518901628 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 6/16/2006 and was last updated on 11/22/2019.

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	2255A2300X	Specialist/Technologist	Athletic Trainer	RT003024	PENNSYLVANIA	No
2	363A00000X	Physician Assistant		MA054393	PENNSYLVANIA	No
3	363AS0400X	Physician Assistant	Surgical	MA054393	PENNSYLVANIA	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	1032836730001	MEDICAID	PENNSYLVANIA

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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