Individual provider Active NPI

Ronald E Gouker, DC CSCS CCSP

  • Chiropractor
  • Uniontown, PA
National Provider Identifier
1174508428
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 007421 L Issued in PA
Practice address
15 Metro PLZ
Uniontown, PA 15401-5407
Phone
(724) 437-8800
Fax
(724) 437-8805
NPI assigned
Dec 9, 2005
Last updated
Jul 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 007421 L PA Primary

Addresses

Primary practice location

15 Metro PLZ
Uniontown, PA 15401-5407

Mailing address

15 Metro PLZ
Uniontown, PA 15401-5407
Phone (724) 437-8800

Other identifiers 1

IdentifierTypeStateIssuer
01788791MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110223000700 PA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 3173704111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
National College of Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Metro PLZ
Uniontown, PA 15401-5407
Phone (724) 437-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 007421 LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gouker Chiropractic Clinic, P.C. CurrentSince Jan 1, 2003 Accepting new patients

Locations

15 Metro Plz
Uniontown, PA 15401
Phone (724) 437-8800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1174508428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 METRO PLZ",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015407",
            "telephone_number": "724-437-8800",
            "fax_number": "724-437-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 METRO PLZ",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015407",
            "telephone_number": "724-437-8800",
            "fax_number": "724-437-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUKER",
        "first_name": "RONALD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC  CSCS  CCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 007421 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01788791",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.