Provider Demographics
NPI:1396764015
Name:RICE, JOHN EDWARD III (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:EDWARD
Last Name:RICE
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 HOSPITAL DR
Mailing Address - Street 2:SUITE 306
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9350
Mailing Address - Country:US
Mailing Address - Phone:570-522-4110
Mailing Address - Fax:570-768-3911
Practice Address - Street 1:3 HOSPITAL DR
Practice Address - Street 2:SUITE 212
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9362
Practice Address - Country:US
Practice Address - Phone:570-522-9771
Practice Address - Fax:570-522-9772
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2021-08-25
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Provider Licenses
StateLicense IDTaxonomies
PAMD027740E2084N0600X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA164162OtherBLUE SHIELD
PA0010470750004Medicaid
PA1262382HOtherGEISINGER
PA50037672OtherCAPITAL BLUE CROSS
PA50037672OtherKEYSTONE
PA232809429OtherTRICARE
PAC32513OtherHEALTH AMERICA
PA021299401OtherFEDERAL BLACK LUNG
PAP00208746OtherRAILROAD MEDICARE
PAP00208746OtherRAILROAD MEDICARE
PA1262382HOtherGEISINGER