Organization Active NPI

Fraudin Chiromed P.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1184738767
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002566L Issued in PA
Legal business name
FRAUDIN CHIROMED P.C.
Practice address
1030 Boyce Rd
Pittsburgh, PA 15241-3907
Phone
(412) 257-8090
NPI assigned
Aug 19, 2006
Reactivated
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Dr. George E Fraudin Jr., D.C.NPI 1588778245
Title
President
Phone
(412) 257-8090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC002566L PA Primary

Addresses

Primary practice location

1030 Boyce Rd
Pittsburgh, PA 15241-3907

Mailing address

1030 Boyce Rd
Pittsburgh, PA 15241-3907
Phone (412) 257-8090

Other identifiers 1

IdentifierTypeStateIssuer
000592488OtherPABLUE CROSS / BLUE SHIELD

Other names 1

  • Fraudin Advanced Chiropractic & Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420000457 PA Part B Supplier - Clinic/Group Practice 2365480415 Receives reassigned benefits from 2 practitioners
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

1030 Boyce Rd
Upper St Clair, PA 15241
Phone (412) 257-8090

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1184738767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BOYCE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413907",
            "telephone_number": "412-257-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BOYCE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413907",
            "telephone_number": "412-257-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAUDIN CHIROMED P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-03-05",
        "deactivation_date": "2024-02-19",
        "reactivation_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "FRAUDIN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-257-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002566L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "000592488",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fraudin Advanced Chiropractic & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.