Individual provider Active NPI

Ward Sterling Stillwagon, D.C.

  • Chiropractor
  • Monongahela, PA
National Provider Identifier
1124028105
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003439L Issued in PA
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

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0011986050001MedicaidPA
202149OtherPAUPMC
251631082-00OtherOHOHIO WORK COMP
1041073OtherPACIGNA

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

LicenseStateTypeSpecialty
2301006791MIMDChiropractor
DC003439LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Webster Chiropractic & Sports Rehabilitation, PLLC. Chiropractor Past Accepting new patients
Stillwagon Chiropractic Chiropractor PastSince Jun 1, 2010 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.

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.

Verify at the official NPI Registry.