Active NPI
William H Gearhart Jr., DC
- Chiropractor
- Elysburg, PA
National Provider Identifier
1295729184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC002381L
- Practice address
- 464 W Valley Ave
Elysburg, PA 17824-9702 - Phone
- (570) 672-3295
- Fax
- (570) 672-0362
- NPI assigned
- Sep 7, 2005
- 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 | DC002381L | PA | Primary |
Addresses
Primary practice location
464 W Valley Ave
Elysburg, PA 17824-9702
Mailing address
464 W Valley Ave
Elysburg, PA 17824-9702
Phone (570) 672-3295
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02533000 | Other | PA | CAPITAL BLUE CROSS |
| 0008797570001 | Medicaid | PA | |
| 6253 | Other | PA | GEISINGER HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295729184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 W VALLEY AVE",
"city": "ELYSBURG",
"state": "PA",
"postal_code": "178249702",
"telephone_number": "570-672-3295",
"fax_number": "570-672-0362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 W VALLEY AVE",
"city": "ELYSBURG",
"state": "PA",
"postal_code": "178249702",
"telephone_number": "570-672-3295",
"fax_number": "570-672-0362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEARHART",
"first_name": "WILLIAM",
"middle_name": "H",
"name_suffix": "Jr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC002381L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02533000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008797570001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "6253",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elysburg, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.