David Howard Rich Jr, MD | |
8791 Barnes Lake Rd, Irwin, PA 15642-3176 | |
(724) 864-6834 | |
(724) 864-6837 |
Full Name | David Howard Rich Jr |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 8791 Barnes Lake Rd, Irwin, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366430258 | NPI | - | NPPES |
1804924000 | Other | WV | MEDICAID |
2203298 | Medicaid | OH | |
64033624 | Other | KY | MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35077080 (Ohio) | Primary |
Entity Name | West Virginia University Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504508 PECOS PAC ID: 1052224565 Enrollment ID: O20031111000207 |
Mailing Address | Practice Location Address |
---|---|
David Howard Rich Jr, MD 8791 Barnes Lake Rd, Irwin, PA 15642-3176 Ph: (724) 832-4084 | David Howard Rich Jr, MD 8791 Barnes Lake Rd, Irwin, PA 15642-3176 Ph: (724) 864-6834 |
Dr. Kristen M Hanley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8791 Barnes Lake Rd, Suite 202, Irwin, PA 15642 Phone: 724-864-6824 Fax: 724-864-6837 | |
Femabelle Bautista, D.O Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8791 Barnes Lake Rd, Suite 202, Irwin, PA 15642 Phone: 724-864-6834 Fax: 724-864-6837 | |
Jodi Jackson, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8791 Barnes Lake Rd, Ste 202, Irwin, PA 15642 Phone: 724-864-6834 | |
Rana Ziadeh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8791 Barnes Lake Rd, Ste 202, Irwin, PA 15642 Phone: 724-864-6834 Fax: 724-864-6837 |