Individual provider Active NPI

Holly Cole Zusmer, D. C.

  • Chiropractor
  • Belle Vernon, PA
National Provider Identifier
1205836400
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007265L Issued in PA
Practice address
638 Rostraver Rd Ste 101
Belle Vernon, PA 15012-1967
Phone
(724) 929-3886
Fax
(724) 929-3974
NPI assigned
Jul 28, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 DC007265L PA Primary

Addresses

Primary practice location

638 Rostraver Rd Ste 101
Belle Vernon, PA 15012-1967

Mailing address

638 Rostraver Rd Ste 101
Belle Vernon, PA 15012-1967
Phone (724) 929-3886

Other identifiers 3

IdentifierTypeStateIssuer
5041685OtherPAAETNA
0006315100003MedicaidPA
990501OtherPAHIGHMARK BC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621001182 PA Practitioner - Chiropractic 1254327224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

638 Rostraver Rd
Belle Vernon, PA 15012-1967
Phone (724) 929-3886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Louis G Izzo DPM LLC PastSince Nov 1, 2001 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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205836400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 ROSTRAVER RD STE 101",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121967",
            "telephone_number": "724-929-3886",
            "fax_number": "724-929-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 ROSTRAVER RD STE 101",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121967",
            "telephone_number": "724-929-3886",
            "fax_number": "724-929-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUSMER",
        "first_name": "HOLLY",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "D. C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007265L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5041685",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006315100003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "990501",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Vernon, 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.