Thad Nathan Diehl, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009168 Issued in PA

Practice address

717 E Mill St
Port Allegany, PA 16743-9743

Phone

(814) 642-7236

Fax

(814) 313-7535

NPI assigned

Jul 22, 2005

Last updated

Jan 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bradford Chiropractic Center LLC

  • Chiropractor
  • Bradford, PA
  • NPI 1710633631
  Medicare reassignment NPD Authorized official
• Andrew Mitchell Young, D.C.

  • Chiropractor
  • Olean, NY
  • NPI 1194809137

  PA

  Medicare reassignment
• Port Allegany Chiropractic LLC

  • Chiropractor
  • Port Allegany, PA
  • NPI 1972195832
  NPD
• Childrens Center for Treatment and Education

  dba Beacon Light Behavioral Health Systems

  • Clinical Psychologist
  • Bradford, PA
  • NPI 1477626992
  NPD (past)
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1235139015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E MILL ST",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167439743",
            "telephone_number": "814-642-7236",
            "fax_number": "814-313-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 E MILL ST",
            "city": "PORT ALLEGANY",
            "state": "PA",
            "postal_code": "167439743",
            "telephone_number": "814-642-7236",
            "fax_number": "814-313-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "THAD",
        "middle_name": "NATHAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "DI1608783",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010002500001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Cole Memorial Hospital
• Charles Cole Memorial Hospital
• Charles Cole Memorial Hospital (CCMH Chiropractic Services)
• Charles Cole Memorial Hospital D/B/a Upmc Cole
• Charles Cole Memorial Hosptial (Port Allegany Pediatrics)
• Debra Ann Dresser, PA-C
• Edwin M Schott OD PC (Schott Associates Eye Care)
• Jane Evingham, RN
• Michael Jerome Farber, RPH
• Rebecca Gardner, PA-C

• Chiropractor in Port Allegany, PA
• Providers in Port Allegany, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.