Absolute Back and Health Center DC PC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

DC008987 Issued in PA

Legal business name

ABSOLUTE BACK AND HEALTH CENTER DC PC

Practice address

100 McLay Dr
Elizabeth, PA 15037-2362

Phone

(412) 751-6601

Fax

(412) 751-6603

NPI assigned

Apr 15, 2008

Last updated

Jun 21, 2018By 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. William Duane Kelley II, DCNPI 1750436713

Title

Owner

Phone

(412) 751-6601

Specialties & licenses 1

Addresses

Other identifiers 10

Locations

Practitioners 1

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.

• William Duane Kelley Jr., DC

  • Rehabilitation Chiropractor
  • Elizabeth, PA
  • NPI 1750436713
  NPD (past) Authorized official

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1144494782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCLAY DR",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372362",
            "telephone_number": "412-751-6601",
            "fax_number": "412-751-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCLAY DR",
            "city": "ELIZABETH",
            "state": "PA",
            "postal_code": "150372362",
            "telephone_number": "412-751-6601",
            "fax_number": "412-751-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE BACK AND HEALTH CENTER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-751-6601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "DC008987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001967676",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "322175",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1538137",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED RAILROAD",
            "identifier": "P0000914",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPECIALTY NETWORK",
            "identifier": "1040680",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE/HEALTH AMERICA",
            "identifier": "416725",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5006597",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "651314",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7909778",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001646760",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Chiropractor in Elizabeth, PA
• Providers in Elizabeth, PA by specialty
• Rehabilitation Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.