Individual provider Active NPI

Steve Robert Pagano Jr., D.C.

  • Chiropractor
  • Carrolltown, PA
National Provider Identifier
1184620833
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007074-L Issued in PA
Practice address
204 South Main Street
Suite 200
Carrolltown, PA 15722-0646
Phone
(814) 344-8740
Fax
(814) 344-8748
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007074-L PA Primary

Addresses

Primary practice location

204 South Main Street
Suite 200
Carrolltown, PA 15722-0646

Mailing address

PO Box 646
Carrolltown, PA 15722-0646
Phone (814) 344-8740

Other identifiers 1

IdentifierTypeStateIssuer
0017164600006MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071220000074 PA Practitioner - Chiropractic 1759471279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pagano Chiropractic Clinic PCGroup PAC ID 8628168101, 2 clinicians

Practice addresses (Care Compare)

204 S Main St
Carrolltown, PA 15722-0646
Phone (814) 344-8740

204 S Main St
Carrolltown, PA 15722-7210

PO Box
Suite 646
Carrolltown, PA 15722-0646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC007074-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pagano Chiropractic Clinic, P.C. CurrentSince Dec 13, 2007 Accepting new patients
Gormish Chiropractic & Rehabilitation, Inc. Chiropractor Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184620833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157220646",
            "telephone_number": "814-344-8740",
            "fax_number": "814-344-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SOUTH MAIN STREET",
            "address_2": "SUITE 200",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157220646",
            "telephone_number": "814-344-8740",
            "fax_number": "814-344-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "STEVE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007074-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017164600006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrolltown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.