Summit Chiropractic and Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SUMMIT CHIROPRACTIC AND WELLNESS LLC

Practice address

901 Benner Pike
State College, PA 16801-7317

Phone

(814) 237-2225

NPI assigned

Mar 8, 2019

Organization subpart

No

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

Authorized official

Name

Edward C Camacho, DCNPI 1538553664

Title

Ceo / Member

Phone

(814) 237-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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

• Edward C Camacho, DC

  • Sports Physician Chiropractor
  • State College, PA
  • NPI 1538553664
  Medicare reassignment Care Compare group NPD Authorized official
• Travis Brent McDonald, D.C.

  • Chiropractor
  • Lewisburg, PA
  • NPI 1326457656
  Medicare reassignment Care Compare group NPD
• Carrie Virginia Bathgate, DC

  • Chiropractor
  • Rebersburg, PA
  • NPI 1881359347
  Medicare reassignment NPD
• Constance L Bliss, D.C.

  • Chiropractor
  • State College, PA
  • NPI 1245394790
  NPD
• David D Passarelli, D.C.

  • Chiropractor
  • State College, PA
  • NPI 1841354388
  NPD

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1376001396",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO / MEMBER",
        "authorized_official_telephone_number": "814-237-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Allen Stuart, DED
• Heather Darby Stube, LCSW
• Lauren Sullivan
• Leslie H Sullivan, MS, NCC
• Scott A. Sulman, D.O.
• Summit Chiropractic Clinic
• Sabrina Marie Sumner, DO
• Susquehanna Valley Professional Associates, Inc
• Sustus, LLC
• Emily T. Suvock, D.O.

• 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 Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.