Organization Active NPI

Wilderness Chiropractic Health and Wellness Center

  • Chiropractor
  • Bradfordwoods, PA
National Provider Identifier
1467649988
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006788R Issued in PA
Legal business name
WILDERNESS CHIROPRACTIC HEALTH AND WELLNESS CENTER
Practice address
857 Oak Rd
Bradfordwoods, PA 15015-1209
Phone
(724) 934-7788
Fax
(724) 799-2134
NPI assigned
Sep 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Dr. Sheryl A Matoshko-Uhler, D.C.NPI 1780754788
Title
President
Phone
(724) 934-7788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC006788R PA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC006789R PA

Addresses

Primary practice location

857 Oak Rd
Bradfordwoods, PA 15015-1209

Mailing address

857 Oak Rd
Bradfordwoods, PA 15015-1209
Phone (724) 934-7788

Other names 1

  • Wilderness Country Chiropractic Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091123000628 PA Part B Supplier - Clinic/Group Practice 8426197989 Receives reassigned benefits from 2 practitioners
Practice locations: Bradfordwoods, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1467649988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 OAK RD",
            "city": "BRADFORDWOODS",
            "state": "PA",
            "postal_code": "150151209",
            "telephone_number": "724-934-7788",
            "fax_number": "724-799-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 OAK RD",
            "city": "BRADFORDWOODS",
            "state": "PA",
            "postal_code": "150151209",
            "telephone_number": "724-934-7788",
            "fax_number": "724-799-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDERNESS CHIROPRACTIC HEALTH AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "MATOSHKO-UHLER",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-934-7788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006788R",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006789R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilderness Country Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bradfordwoods, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.