Active NPI
Emery Vaughn Pitcel, DC
- Chiropractor
- State College, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC011569
- Practice address
- 1402 S Atherton St Ste 204
State College, PA 16801-6255 - Phone
- (814) 441-5532
- Fax
- (814) 556-2110
- NPI assigned
- Jun 19, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038013115 | IL | |
| Chiropractor | 111N00000X | DC011569 | PA | Primary |
Addresses
Primary practice location
1402 S Atherton St Ste 204
State College, PA 16801-6255
Mailing address
138 W Whitehall Rd
State College, PA 16801-5931
Phone (586) 255-9170
Other practice location 1
123 Mount Nittany Rd
Lemont, PA 16851-9054
Phone (586) 255-9170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1355 Four Mile Dr
Williamsport, PA 17701-1932
Phone (570) 322-1776
1402 S Atherton St
Suite 204
State College, PA 16801-6255
Phone (814) 441-5532
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038013115 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamsport Wellness Center Inc. | Chiropractor | Current | Accepting new patients |
| Rothrock Chiropractic and Rehabilitation LLC | Chiropractor | Current | Accepting new patients |
Locations
1402 S Atherton St
Ste 204
State College, PA 16801
Phone (814) 441-5532
1355 Four Mile Dr
Williamsport, PA 17701
Phone (570) 322-1776
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 and National Provider Directory roles.
-
- Chiropractor
- State College, PA
- NPI 1063029718
-
- Chiropractor
- Williamsport, PA
- NPI 1205584232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1194255414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 W WHITEHALL RD",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168015931",
"telephone_number": "586-255-9170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S ATHERTON ST STE 204",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168016255",
"telephone_number": "814-441-5532",
"fax_number": "814-556-2110"
}
],
"practiceLocations": [
{
"address_1": "123 Mount Nittany Rd",
"address_purpose": "LOCATION",
"city": "Lemont",
"state": "PA",
"postal_code": "168519054",
"country_code": "US",
"telephone_number": "586-255-9170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PITCEL",
"first_name": "EMERY",
"middle_name": "VAUGHN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-19",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038013115",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC011569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.