Active NPI
Samantha Wilfong, D.C.
- Chiropractor
- Meadville, PA
National Provider Identifier
1164794699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010526
- Practice address
- 390 Park Ave
Ste 105
Meadville, PA 16335-1243 - Phone
- (814) 337-0070
- Fax
- (814) 337-0300
- NPI assigned
- Jan 30, 2012
- Last updated
- Feb 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010526 | PA | Primary |
Addresses
Primary practice location
390 Park Ave
Ste 105
Meadville, PA 16335-1243
Mailing address
390 Park Ave
Ste 105
Meadville, PA 16335-1243
Phone (814) 337-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6035 Main St
Williamsville, NY 14221-6865
Phone (716) 632-4476
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC010526 | PA | MD | Chiropractor |
| 013141 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munroe Chiropractic | Chiropractor | Current | Accepting new patients |
| Office Based Anesthesia Solutions, Inc. | Past | Accepting new patients | |
| Ars Treatment Centers, P.C. | Past | Accepting new patients |
Locations
6035 Main St
Williamsville, NY 14221
Phone (716) 632-4476
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Williamsville, NY
- NPI 1043225774
-
dba Crossroads Treatment Centers Beaver (LAB)
- Clinical Medical Laboratory
- Beaver, PA
- NPI 1992370324
-
- Anesthesiology Physician
- Cranberry Township, PA
- NPI 1023066859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487980800000",
"number": "1164794699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 PARK AVE",
"address_2": "STE 105",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163351243",
"telephone_number": "814-337-0070",
"fax_number": "814-337-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 PARK AVE",
"address_2": "STE 105",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163351243",
"telephone_number": "814-337-0070",
"fax_number": "814-337-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILFONG",
"first_name": "SAMANTHA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-30",
"last_updated": "2017-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
- Mark B Whitney, MD
- Whole Health Joint Replacement Institute, LLC (Whole Health Orthopedic Institute)
- Whole Health Wellness Institute, PLLC
- Alyse Ann Widger, DPT
- Steven W Wilcoxon, LPC
- Monica Wilk-Weber
- Hugh S Wilkens, MD
- Brandon James Williams
- David Albert Williams, D.O.
- Michelle Louise Williams, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.