Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theodore L Hetrick Jr., MD

Individual provider Emergency Medicine Physician · NPI 1619904497

Theodore L Hetrick Jr., MD is an Emergency Medicine in Lewistown, Pennsylvania. Graduated from Temple University School of Medicine in 1976, 50 years ago. Practices with Pennsylvania Department of Human Services, a 34-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
50
Trained at
Temple University School of Medicine
Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 Highland Ave
Lewistown, PA 17044-1167
Phone: (717) 242-7180
Fax: (717) 242-7299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD018356E (PA)

Record details

NPI number1619904497
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESFebruary 12, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1976 (50 years in practice)
Group practice Pennsylvania Department Of Human Services — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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