Active NPI
Andrew L Pamer, D.C.
- Chiropractor
- Waterford, PA
National Provider Identifier
1255487575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC8650
- Practice address
- 9070 Peach St
Suite #1
Waterford, PA 16441-4022 - Phone
- (814) 866-1933
- Fax
- (814) 866-1934
- NPI assigned
- Jan 27, 2007
- Sex
- Male
- Sole proprietor
- No
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 | DC8650 | PA | Primary |
Addresses
Primary practice location
9070 Peach St
Suite #1
Waterford, PA 16441-4022
Mailing address
9070 Peach St
Suite #1
Waterford, PA 16441-4022
Phone (814) 866-1933
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001467638 | Other | PA | HIGHMARK BLUECROSS |
| 1014200490001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3485 Fortuna Dr
Suite 300
Akron, OH 44312-5293
Phone (330) 724-9331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pamer Chiropractic Health Center Inc | Chiropractor | Current | Accepting new patients |
| Abundant Life Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
3485 Fortuna Dr
Ste 300
Green, OH 44312
Phone (234) 425-0409
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 and National Provider Directory roles.
-
- Chiropractor
- Akron, OH
- NPI 1457734147
-
- Chiropractor
- Waterford, PA
- NPI 1619168499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255487575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9070 PEACH ST",
"address_2": "SUITE #1",
"city": "WATERFORD",
"state": "PA",
"postal_code": "164414022",
"telephone_number": "814-866-1933",
"fax_number": "814-866-1934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9070 PEACH ST",
"address_2": "SUITE #1",
"city": "WATERFORD",
"state": "PA",
"postal_code": "164414022",
"telephone_number": "814-866-1933",
"fax_number": "814-866-1934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAMER",
"first_name": "ANDREW",
"middle_name": "L",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC8650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUECROSS",
"identifier": "001467638",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014200490001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, 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.