Individual provider Active NPI

Michael Patrick Turkos, D.C.

  • Chiropractor
  • Brodheadsville, PA
National Provider Identifier
1174989370
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
011006 Issued in PA
Practice address
134 Pilgrim Way
Brodheadsville, PA 18322-0447
Phone
(570) 992-7626
NPI assigned
Jan 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 011006 PA Primary

Addresses

Primary practice location

134 Pilgrim Way
Brodheadsville, PA 18322-0447

Mailing address

2011 N 5TH St
Stroudsburg, PA 18360-2709
Phone (973) 820-3695

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
011006PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Life Chiropractic Center LLC Chiropractor PastSince Jul 30, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1174989370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 N 5TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602709",
            "telephone_number": "973-820-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 PILGRIM WAY",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183220447",
            "telephone_number": "570-992-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURKOS",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "011006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodheadsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.