Individual provider Active NPI

Thomas C Gobbie, DC

  • Chiropractor
  • MC Murray, PA
National Provider Identifier
1477599595
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-007028-L Issued in PA
Practice address
2000 Waterdam Plaza Dr
Ste 260
MC Murray, PA 15317-5411
Phone
(724) 969-4242
Fax
(724) 969-4244
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-007028-L PA Primary

Addresses

Primary practice location

2000 Waterdam Plaza Dr
Ste 260
MC Murray, PA 15317-5411

Mailing address

2000 Waterdam Plaza Dr
Ste 260
MC Murray, PA 15317-5411
Phone (724) 969-4242

Other identifiers 5

IdentifierTypeStateIssuer
01915544MedicaidPA
217097OtherPAUPMC
911879OtherPABLUE CROSS BLUE SHIELD
0069030001OtherPACIGNA
2108975000OtherPAPERSONAL CHOICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502000623 PA Practitioner - Chiropractic 1456390186 Practice locations: MC Murray, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Waterdam Plaza Dr
Suite 260
MC Murray, PA 15317-5411
Phone (724) 969-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-007028-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gobbie Chiropractic Center Chiropractor PastSince Jan 1, 1990 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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1477599595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 WATERDAM PLAZA DR",
            "address_2": "STE 260",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153175411",
            "telephone_number": "724-969-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 WATERDAM PLAZA DR",
            "address_2": "STE 260",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153175411",
            "telephone_number": "724-969-4242",
            "fax_number": "724-969-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBBIE",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-007028-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01915544",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "217097",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "911879",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0069030001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2108975000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.

Verify at the official NPI Registry.