Active NPI
Patrick Walsh, DC
- Chiropractor
- Hagerstown, MD
National Provider Identifier
1467791079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03930
- Practice address
- 13018 Pennsylvania Ave
Ste 5
Hagerstown, MD 21742-2759 - Phone
- (240) 347-4360
- Fax
- (240) 347-4415
- NPI assigned
- Feb 4, 2013
- 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 | S03930 | MD | Primary |
Addresses
Primary practice location
13018 Pennsylvania Ave
Ste 5
Hagerstown, MD 21742-2759
Mailing address
19231 Olde Waterford Rd
Hagerstown, MD 21742-1505
Phone (248) 420-8008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200224002151 | MD | Practitioner - Chiropractic | 8729225263 | Practice locations: Hagerstown, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13018 Pennsylvania Ave
Suite 5
Hagerstown, MD 21742-2759
Phone (240) 347-4360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5773 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Wellness Center, Inc. | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1467791079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19231 OLDE WATERFORD RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217421505",
"telephone_number": "248-420-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13018 PENNSYLVANIA AVE",
"address_2": "STE 5",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217422759",
"telephone_number": "240-347-4360",
"fax_number": "240-347-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALSH",
"first_name": "PATRICK",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-04",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S03930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
- Walnut Street Community Health Center, Inc.
- Walnut Street Community Health Center, Inc.
- Walnut Street Community Health Center, Inc.
- Walnut Street Community Health Center, Inc.
- Maribeth Walsh, LCSWC
- Christina Lynne Walter
- Amy Beth Walters, PTA
- Wei-Lin Wang
- Uvindu Adisha Wanniachchige, DO
- Claudine Wanzerfehr
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.