Marc A. Walters, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007867L Issued in PA

Practice address

125 Main St
Wellsboro, PA 16901-1414

Phone

(814) 435-8200

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Bull Family Chiropractic, LLCGroup PAC ID 0840469672, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bull Family Chiropractic, LLC

  • Chiropractor
  • Elkland, PA
  • NPI 1922395102
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1316945918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111",
            "city": "GALETON",
            "state": "PA",
            "postal_code": "16922",
            "telephone_number": "570-724-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011414",
            "telephone_number": "814-435-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MARC",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007867L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "054233",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann R Vayansky, CPNP
• Cathleen M Veach, MD
• Jon L Vogler, PA-C
• Ronald M Waclawik, D.D.S.
• Jeremy A Walrath, BSW, MA, LBS
• Denielle L Watson
• Courtney Lynn Wattles, OTR/L
• Beth Weaver, CRNP
• Weis Markets Inc
• Well Adjusted Chiropractic Center PC

• Chiropractor in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.

Verify at the official NPI Registry.