Active NPI
Skocik Chiropractic, LLC
- Chiropractor
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 003615 L
- Legal business name
- SKOCIK CHIROPRACTIC, LLC
- Practice address
- 5431 Jonestown Rd
Harrisburg, PA 17112-4062 - Phone
- (717) 540-8448
- Fax
- (717) 540-6233
- NPI assigned
- Feb 16, 2007
- Last updated
- Jun 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert Joseph Skocik, D.C.
- Title
- Owner
- Phone
- (717) 540-8448
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 003615 L | PA | Primary |
| Radiology Chiropractor | 111NR0200X | DC 003615 L | PA | |
| Rehabilitation Chiropractor | 111NR0400X | DC 003615 L | PA |
Addresses
Primary practice location
5431 Jonestown Rd
Harrisburg, PA 17112-4062
Mailing address
5431 Jonestown Rd
Harrisburg, PA 17112-4062
Phone (717) 540-8448
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202304 | Other | PA | AETNA GP # |
| 02761200 | Other | PA | CAPITAL BLUE CROSS GP # |
| 856258 | Other | PA | HIGHMARK BLUE SHIELD GP# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5500 Allentown Blvd
Harrisburg, PA 17112
Phone (717) 540-8448
5431 Old Jonestown Rd
Harrisburg, PA 17112
Phone (717) 540-8448
5431 Jonestown Rd
Frnt
Harrisburg, PA 17112
Phone (717) 540-8448
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Radiology Chiropractor
- Harrisburg, PA
- NPI 1902810849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277856000000",
"number": "1275677122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5431 JONESTOWN RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171124062",
"telephone_number": "717-540-8448",
"fax_number": "717-540-6233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5431 JONESTOWN RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171124062",
"telephone_number": "717-540-8448",
"fax_number": "717-540-6233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKOCIK CHIROPRACTIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2010-06-30",
"status": "A",
"authorized_official_last_name": "SKOCIK",
"authorized_official_first_name": "ALBERT",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "717-540-8448",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC 003615 L",
"primary": true
},
{
"code": "111NR0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Radiology",
"state": "PA",
"license": "DC 003615 L",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "DC 003615 L",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GP #",
"identifier": "2202304",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS GP #",
"identifier": "02761200",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD GP#",
"identifier": "856258",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.