Organization Active NPI

Skocik Chiropractic, LLC

  • Chiropractor
  • Harrisburg, PA
National Provider Identifier
1275677122
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 003615 L Issued in PA
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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.NPI 1902810849
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC 003615 L PA Primary
Radiology ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NR0200X DC 003615 L PA
Rehabilitation ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2202304OtherPAAETNA GP #
02761200OtherPACAPITAL BLUE CROSS GP #
856258OtherPAHIGHMARK BLUE SHIELD GP#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041108000113 PA Part B Supplier - Clinic/Group Practice 5597728907 Receives reassigned benefits from 1 practitioner
Practice locations: Harrisburg, PA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.