Conway Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC002774L Issued in PA

Legal business name

CONWAY CHIROPRACTIC PC

Doing business as

Conway Clinic

Practice address

1150 Wyoming Ave
Suite 500
Wyoming, PA 18644-1366

Phone

(570) 287-7070

Fax

(570) 287-5575

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Malcolm L. Conway, D.C.NPI 1720623713

Title

President

Phone

(570) 287-7070

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Conway Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Malcolm L. Conway Jr., DC

  • Chiropractor
  • Kingston, PA
  • NPI 1720623713
  Medicare reassignment Care Compare group NPD Authorized official
• Malcolm L. Conway

  • Chiropractor
  • Wyoming, PA
  • NPI 1215043617
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1104951581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 WYOMING AVE",
            "address_2": "SUITE 500",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441366",
            "telephone_number": "570-287-7070",
            "fax_number": "570-287-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 WYOMING AVE",
            "address_2": "SUITE 500",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "186441366",
            "telephone_number": "570-287-7070",
            "fax_number": "570-287-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-287-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002774L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1215043617",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conway Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Carey, PHARM D
• Melissa A Cencetti, DPT, EDD
• Elizabeth Ann Charney, OTR/L
• Tom Cohen, M.D.
• Connections Counseling Associates, LLC
• Malcolm L. Conway
• Monica L Cozzone, D.O
• Denise Mary Delnodal, LMT
• Hollie Dimare
• Patricia A Dutton

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.