Western Pennsylvania Spine Institute, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC005679L Issued in PA

Legal business name

WESTERN PENNSYLVANIA SPINE INSTITUTE, P.C.

Practice address

1900 Waterdam Plaza
BLDG #3
McMurray, PA 15317-5442

Phone

(724) 731-0007

Fax

(724) 731-0040

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Charles Willis, DC

Title

President

Phone

(724) 731-0007

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1457423675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WATERDAM PLAZA",
            "address_2": "BLDG #3",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153175442",
            "telephone_number": "724-731-0007",
            "fax_number": "724-731-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WATERDAM PLAZA",
            "address_2": "BLDG #3",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153175442",
            "telephone_number": "724-731-0007",
            "fax_number": "724-731-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN PENNSYLVANIA SPINE INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-731-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005679L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER MEDICARE PIN",
            "identifier": "619690R7B",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1376676007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1457423675",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Washington Physician Services
• Washington Physician Services Organization
• Waterdam Surgical Associates, PC
• Laurie A Wehner, CRNP
• Timothy P Weyrich, MD
• Joseph Charles Willis, D.C.
• Adam Yesenosky
• Avril Dawn Zaharoff, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.