Active NPI
Ryan R McGraw, DC
- Chiropractor
- Tannersville, PA
National Provider Identifier
1285704908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007756L
- Practice address
- RT 611
Tannersville, PA 18372 - Phone
- (570) 629-7900
- Fax
- (570) 629-7968
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | DC007756L | PA | Primary |
Addresses
Primary practice location
RT 611
Tannersville, PA 18372
Mailing address
PO Box 181
Tannersville, PA 18372-0181
Phone (570) 629-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001960620 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
115 Learn Rd
Tannersville, PA 18372-7951
Phone (570) 629-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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
- Tannersville, PA
- NPI 1518237262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285704908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 181",
"city": "TANNERSVILLE",
"state": "PA",
"postal_code": "183720181",
"telephone_number": "570-629-7900",
"fax_number": "570-629-7968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RT 611",
"city": "TANNERSVILLE",
"state": "PA",
"postal_code": "18372",
"telephone_number": "570-629-7900",
"fax_number": "570-629-7968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGRAW",
"first_name": "RYAN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007756L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001960620",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tannersville, 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.