Gormish Chiropractic & Rehabilitation, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC2465-L Issued in PA

Legal business name

GORMISH CHIROPRACTIC & REHABILITATION, INC.

Practice address

1821 Plank Rd
Carrolltown, PA 15722-0630

Phone

(814) 344-8883

Fax

(814) 344-8685

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Clay A Gormish, DCNPI 1922021732

Title

President

Phone

(814) 344-8883

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 3

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

• Clay Andrew Gormish, DC

  • Chiropractor
  • Carrolltown, PA
  • NPI 1922021732
  Medicare reassignment Care Compare group NPD Authorized official
• Deron John Gormish, DC

  • Chiropractor
  • Carrolltown, PA
  • NPI 1699797761
  Medicare reassignment Care Compare group NPD
• Steve Robert Pagano Jr., D.C.

  • Chiropractor
  • Carrolltown, PA
  • NPI 1184620833
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205858362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157220630",
            "telephone_number": "814-344-8883",
            "fax_number": "814-344-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 PLANK RD",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157220630",
            "telephone_number": "814-344-8883",
            "fax_number": "814-344-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORMISH CHIROPRACTIC & REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORMISH",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-344-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC2465-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK NUMBER",
            "identifier": "426639",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conemaugh Health Initiatives
• Conemaugh Health Initiatives (St. Benedict Rural Health Clinic)
• Conemaugh Health Initiatives (Norcam - RHC)
• Carrie Jo D'Andrea
• DLP Conemaugh Physician Practices LLC (Conemaugh Physician Group - St. Benedict)
• Clay Andrew Gormish, DC
• Deron John Gormish, DC
• David James Gresko, LPC
• John Carroll Ambulance Assn (John Carroll Area Ambulance Service)
• Joseph Rezk (Punxsy/Rezk Medical Supply)

• Chiropractor in Carrolltown, PA
• Providers in Carrolltown, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.