Active NPI
Edmund S Gard, DC
- Chiropractor
- Somerset, PA
National Provider Identifier
1467422782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC001751L
- Practice address
- 4081 Glades Pike
Ste 100
Somerset, PA 15501 - Phone
- (814) 444-1770
- Fax
- (814) 444-0909
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 | DC001751L | PA | Primary |
Addresses
Primary practice location
4081 Glades Pike
Ste 100
Somerset, PA 15501
Mailing address
4081 Glades Pike
Ste 100
Somerset, PA 15501
Phone (814) 444-1770
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216980 | Other | PA | UPMC |
| 0008810940002 | Medicaid | PA | |
| 035342 | Other | PA | HIGHMARK BCBS |
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 |
|---|---|---|---|
| Windber Hospital, Inc. | 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.
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467422782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4081 GLADES PIKE",
"address_2": "STE 100",
"city": "SOMERSET",
"state": "PA",
"postal_code": "15501",
"telephone_number": "814-444-1770",
"fax_number": "814-444-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4081 GLADES PIKE",
"address_2": "STE 100",
"city": "SOMERSET",
"state": "PA",
"postal_code": "15501",
"telephone_number": "814-444-1770",
"fax_number": "814-444-0909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARD",
"first_name": "EDMUND",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC001751L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "216980",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008810940002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "035342",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerset, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.