Active NPI
Wegayehu Gizaw
- Chiropractor
- Scranton, PA
National Provider Identifier
1336596188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC011124
- Practice address
- 222 Wyoming Ave
Scranton, PA 18503-1441 - Phone
- (570) 497-9478
- NPI assigned
- May 23, 2016
- 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 | DC011124 | PA | Primary |
Addresses
Primary practice location
222 Wyoming Ave
Scranton, PA 18503-1441
Mailing address
67 Bethes Street
Wilkes Barre, PA 18702
Phone (570) 497-9478
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gizaw Chiropractic | Chiropractor | Past | Accepting new patients |
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
- Scranton, PA
- NPI 1023479862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1336596188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 BETHES STREET",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "18702",
"telephone_number": "570-497-9478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 WYOMING AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185031441",
"telephone_number": "570-497-9478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIZAW",
"first_name": "WEGAYEHU",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-23",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC011124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.