Active NPI
Ward Sterling Stillwagon, D.C.
- Chiropractor
- Monongahela, PA
National Provider Identifier
1124028105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC003439L
- Practice address
- 767 Dry Run Rd
Monongahela, PA 15063-1226 - Phone
- (724) 258-6506
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC003439L | PA | Primary |
| Chiropractor | 111N00000X | 2301006791 | MI |
Addresses
Primary practice location
767 Dry Run Rd
Monongahela, PA 15063-1226
Mailing address
767 Dry Run Rd
Monongahela, PA 15063-1226
Phone (724) 258-6506
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011986050001 | Medicaid | PA | |
| 202149 | Other | PA | UPMC |
| 251631082-00 | Other | OH | OHIO WORK COMP |
| 1041073 | Other | PA | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301006791 | MI | MD | Chiropractor |
| DC003439L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webster Chiropractic & Sports Rehabilitation, PLLC. | Chiropractor | Past | Accepting new patients |
| Stillwagon Chiropractic | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Monongahela, PA
- NPI 1700062338
-
- Chiropractor
- Monongahela, PA
- NPI 1437413341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1124028105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 DRY RUN RD",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "150631226",
"telephone_number": "724-258-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 DRY RUN RD",
"city": "MONONGAHELA",
"state": "PA",
"postal_code": "150631226",
"telephone_number": "724-258-6506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILLWAGON",
"first_name": "WARD",
"middle_name": "STERLING",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC003439L",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301006791",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011986050001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "202149",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO WORK COMP",
"identifier": "251631082-00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1041073",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monongahela, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.