Dr Carl Gaudio DC LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC005644L Issued in PA

Legal business name

DR CARL GAUDIO DC LLC

Practice address

343 E Maiden St
Washington, PA 15301-5107

Phone

(724) 222-5777

Fax

(724) 222-5779

NPI assigned

May 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. A Carl Gaudio II

Title

Sole Member

Phone

(724) 309-4346

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1265750665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 COUNTRY DR",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150123606",
            "telephone_number": "724-309-4346",
            "fax_number": "724-222-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E MAIDEN ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015107",
            "telephone_number": "724-222-5777",
            "fax_number": "724-222-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CARL GAUDIO DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "GAUDIO",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "724-309-4346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC005644L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Physician Chiropractor in Washington, PA
• Providers in Washington, PA by specialty
• Sports Physician Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.