Individual provider Active NPI

Edgar Guarino, D.C.

  • Chiropractor
  • Lancaster, PA
National Provider Identifier
1205868460
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5004L Issued in PA
Practice address
150 Farmington LN
Lancaster, PA 17601-6239
Phone
(717) 560-4422
Fax
(717) 560-5429
NPI assigned
Jul 7, 2006
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 DC5004L PA Primary

Addresses

Primary practice location

150 Farmington LN
Lancaster, PA 17601-6239

Mailing address

150 Farmington LN
Lancaster, PA 17601-6239
Phone (717) 560-4422

Other identifiers 3

IdentifierTypeStateIssuer
1393181MedicaidPA
GU113524OtherPAHIGHMARK BLUE SHIELD -NEW
GU1339640OtherPAHIGHMARK BLUE SHIELD -OLD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120405000072 PA Practitioner - Chiropractic 4688835374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

150 Farmington LN
Lancaster, PA 17601-6239
Phone (717) 560-4422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC5004LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Guarino Family Chiropractic, Inc. Chiropractor CurrentSince Jun 20, 1994 Accepting new patients

Locations

150 Farmington Ln
Ste 2
Lancaster, PA 17601

150 Farmington Ln
Lancaster, PA 17601
Phone (717) 397-4741

Organizations & group practices 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205868460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FARMINGTON LN",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016239",
            "telephone_number": "717-560-4422",
            "fax_number": "717-560-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FARMINGTON LN",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016239",
            "telephone_number": "717-560-4422",
            "fax_number": "717-560-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARINO",
        "first_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC5004L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1393181",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD -NEW",
            "identifier": "GU113524",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD -OLD",
            "identifier": "GU1339640",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, 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.