Individual provider Active NPI

Andrew L Pamer, D.C.

  • Chiropractor
  • Waterford, PA
National Provider Identifier
1255487575
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC8650 Issued in PA
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

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 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

IdentifierTypeStateIssuer
001467638OtherPAHIGHMARK BLUECROSS
1014200490001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150722004644 OH Practitioner - Chiropractic 8325947807 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Pamer Chiropractic Health Center Inc Chiropractor CurrentSince Jul 1, 2015 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.

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.

Verify at the official NPI Registry.