Active NPI
Malcolm L. Conway
- Chiropractor
- Wyoming, PA
National Provider Identifier
1215043617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC002774L
- Practice address
- 1150 Wyoming Ave
Suite 500
Wyoming, PA 18644-1366 - Phone
- (570) 287-7070
- Fax
- (570) 287-5575
- NPI assigned
- Aug 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC002774L | PA | Primary |
Addresses
Primary practice location
1150 Wyoming Ave
Suite 500
Wyoming, PA 18644-1366
Mailing address
1150 Wyoming Ave
Suite 500
Wyoming, PA 18644-1366
Phone (570) 287-7070
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
- Sherman College of Straight Chiropractic, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
540 Pierce St
Kingston, PA 18704-5760
Phone (570) 287-7070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC002774L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
540 Pierce St
Kingston, PA 18704
Phone (570) 287-2700
575 Pierce St
Ste 102
Kingston, PA 18704
Phone (570) 287-7070
1150 Wyoming Ave
Ste 500
Wyoming, PA 18644
Phone (570) 287-7070
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": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215043617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 WYOMING AVE",
"address_2": "SUITE 500",
"city": "WYOMING",
"state": "PA",
"postal_code": "186441366",
"telephone_number": "570-287-7070",
"fax_number": "570-287-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 WYOMING AVE",
"address_2": "SUITE 500",
"city": "WYOMING",
"state": "PA",
"postal_code": "186441366",
"telephone_number": "570-287-7070",
"fax_number": "570-287-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONWAY",
"first_name": "MALCOLM",
"middle_name": "L.",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC002774L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, 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.