Active NPI
Cory G Wonderly, D.C.
- Internist Chiropractor
- Pittsburgh, PA
National Provider Identifier
1326344839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- DC010528
- Practice address
- 100 High Tower Blvd Ste 203
Pittsburgh, PA 15205-1134 - Phone
- (412) 275-3034
- Fax
- (412) 275-3037
- NPI assigned
- Jan 31, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | STUDENT | PA | |
| Internist Chiropractor | 111NI0900X | DC010528 | PA | Primary |
Addresses
Primary practice location
100 High Tower Blvd Ste 203
Pittsburgh, PA 15205-1134
Mailing address
100 High Tower Blvd Ste 203
Pittsburgh, PA 15205-1134
Phone (412) 275-3034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120120000767 | PA | Practitioner - Chiropractic | 3375710098 | Practice locations: McKees Rocks, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5472 Steubenville Pike
MC Kees Rocks, PA 15136-1412
Phone (412) 275-3034
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| STUDENT | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wonderly Chiropractic LLC | Current | Accepting new patients | |
| Wonderly Chiropractic LLC | Past | Accepting new patients | |
| Capra Chiropractic LLC | Past | Accepting new patients | |
| Deborah McSteen | Internist | Past | Accepting new patients |
Locations
100 High Tower Blvd
Ste 203
Pittsburgh, PA 15205
Phone (412) 275-3034
Organizations & group practices 4
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
- Pittsburgh, PA
- NPI 1194608588
-
- Chiropractor
- MC Kees Rocks, PA
- NPI 1861898124
-
- Chiropractor
- Pittsburgh, PA
- NPI 1346468766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1326344839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HIGH TOWER BLVD STE 203",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152051134",
"telephone_number": "412-275-3034",
"fax_number": "412-275-3037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HIGH TOWER BLVD STE 203",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152051134",
"telephone_number": "412-275-3034",
"fax_number": "412-275-3037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONDERLY",
"first_name": "CORY",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-31",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "PA",
"license": "STUDENT",
"primary": false
},
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "PA",
"license": "DC010528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.