Summit Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SUMMIT CHIROPRACTIC CLINIC

Practice address

901 Benner Pike
State College, PA 16801-7317

Phone

(814) 237-2225

Fax

(814) 237-2520

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David D Passarelli, D.C.

Title

Owner-Chiropractor

Phone

(814) 237-2225

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie Virginia Bathgate, DC

  • Chiropractor
  • Rebersburg, PA
  • NPI 1881359347
  NPD
• Travis Brent McDonald, D.C.

  • Chiropractor
  • Lewisburg, PA
  • NPI 1326457656
  NPD
• Jay Frederick Wagoner, D.C.

  • Chiropractor
  • State College, PA
  • NPI 1952709693
  NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1285798710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BENNER PIKE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017317",
            "telephone_number": "814-237-2225",
            "fax_number": "814-237-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BENNER PIKE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017317",
            "telephone_number": "814-237-2225",
            "fax_number": "814-237-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "PASSARELLI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER-CHIROPRACTOR",
        "authorized_official_telephone_number": "814-237-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006316720001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009328720002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "01360451",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02463800",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Darby Stube, LCSW
• Lauren Sullivan
• Leslie H Sullivan, MS, NCC
• Scott A. Sulman, D.O.
• Summit Chiropractic and Wellness LLC
• Sabrina Marie Sumner, DO
• Susquehanna Valley Professional Associates, Inc
• Sustus, LLC
• Emily T. Suvock, D.O.
• Peter Nordstrom Swain, DO

• Chiropractor in State College, PA
• Providers in State College, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.