Ron Siscoe, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007499L Issued in PA

Legal business name

RON SISCOE, PC

Practice address

3215 Edgmont Ave
Brookhaven, PA 19015-3104

Phone

(610) 876-6180

NPI assigned

Feb 8, 2010

Last updated

Feb 8, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ron Siscoe, D.C.

Title

Owner

Phone

(610) 876-6180

Specialties & licenses 1

Addresses

Tax ID family

Premier Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Premier Chiropractic

  • Chiropractor
  • Brookhaven, PA
  • NPI 1194951301
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1083946560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 EDGMONT AVE",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190153104",
            "telephone_number": "610-876-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 EDGMONT AVE",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190153104",
            "telephone_number": "610-876-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON SISCOE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "SISCOE",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-876-6180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007499L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maitreyee Rai
• Ophelia Reid-Fripps, LPN
• Robert F. Crowell, D.O., Steven J. Fisher, D.O., P.C.
• Robert M Chideckel,DMD
• Ron Siscoe PC
• Salvation Home Health Care LLC
• Jaison Sebastian, DOCTORATE
• Senior Care Centers of Pennsylvania, Inc. (Senior Care of Brookhaven)
• Andrew Shasanya
• Frances Simone, RD, LDN

• Chiropractor in Brookhaven, PA
• Providers in Brookhaven, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.