Acupuncture Medical Practice

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

OM000033 Issued in PA

Legal business name

ACUPUNCTURE MEDICAL PRACTICE

Practice address

1737 Chestnut St Ste 200
Philadelphia, PA 19103-4108

Phone

(215) 751-9833

Fax

(215) 575-0454

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Qingyao Shi, DOMNPI 1912046673

Title

Acupuncturist

Phone

(215) 751-9833

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Green Healing Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Qingyao Shi, LIC. ACU.

  • Acupuncturist
  • Philadelphia, PA
  • NPI 1912046673
  NPD (past) Authorized official

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1134586159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 CHESTNUT ST STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034108",
            "telephone_number": "215-751-9833",
            "fax_number": "215-575-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 CHESTNUT ST STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191034108",
            "telephone_number": "215-751-9833",
            "fax_number": "215-575-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "SHI",
        "authorized_official_first_name": "QINGYAO",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "215-751-9833",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OM000033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "191626032",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Healing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Active Life Services Inc
• Acts of Faith Corp
• Acumen Dental, P.C.
• Acupuncture and Oriental Medicine Center, LLC
• Acupuncture for Your Wellbeing LLC
• Acupuncture Wang Center
• Acute Care Physicians of Philadelphia LLC
• Ferdinand Andres Aczon, M.D.
• Esi Adadzewah
• Eliza Dianne Adam

• Acupuncturist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Acupuncturist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.