Active NPI
John Donald Rawa Jr., DC
- Rehabilitation Chiropractor
- Girard, PA
National Provider Identifier
1184601395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC006470L
- Practice address
- 4880 Birchdale Dr
Girard, PA 16417-1822 - Phone
- (814) 774-1400
- Fax
- (814) 774-3708
- NPI assigned
- Dec 29, 2005
- Last updated
- Jul 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC006470L | PA | Primary |
Addresses
Primary practice location
4880 Birchdale Dr
Girard, PA 16417-1822
Mailing address
4880 Birchdale Dr
Girard, PA 16417-1822
Phone (814) 774-1400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G1807058 | Other | PA | BLUE CROSS |
| 0017811730001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101207000637 | PA | Practitioner - Chiropractic | 8022205798 | Practice locations: Girard, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4880 Birchdale Dr
Girard, PA 16417-1852
Phone (814) 774-1400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles F. Pados, DC | Past | Accepting new patients | |
| Girard Family Chiropractic | Rehabilitation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rehabilitation Chiropractor
- Girard, PA
- NPI 1245417955
-
dba State Street Chiropractic
- Occupational Health Chiropractor
- Erie, PA
- NPI 1003993452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1184601395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4880 BIRCHDALE DR",
"city": "GIRARD",
"state": "PA",
"postal_code": "164171822",
"telephone_number": "814-774-1400",
"fax_number": "814-774-3708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4880 BIRCHDALE DR",
"city": "GIRARD",
"state": "PA",
"postal_code": "164171822",
"telephone_number": "814-774-1400",
"fax_number": "814-774-3708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWA",
"first_name": "JOHN",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-29",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "DC006470L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G1807058",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0017811730001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Girard, PA
- Platea Volunteer Fire Company, Inc
- Pleasant Ridge Manor
- Pleasant Ridge Manor (Pleasant Ridge Manor Pharmacy)
- Amanda Jean Polizzi, PTA
- Andrew Michael Prischak, OD
- Aubrey Reese, PHARM.D
- Richard C. Juang, M. D. Inc.
- Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01699)
- Erin Marie Rodriguez, CRNP
- Jenna Sadowski
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.