Active NPI
Michael Eric Udo, D.C.
- Chiropractor
- Spring Grove, PA
National Provider Identifier
1477741262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-005425-L
- Practice address
- 515 Lakeview Dr
Spring Grove, PA 17362-8449 - Phone
- (717) 225-3728
- NPI assigned
- Oct 5, 2007
- Last updated
- Oct 5, 2007
- 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 | DC-005425-L | PA | Primary |
Addresses
Primary practice location
515 Lakeview Dr
Spring Grove, PA 17362-8449
Mailing address
515 Lakeview Dr
Spring Grove, PA 17362-8449
Phone (717) 225-3728
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-005425-L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1477741262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 LAKEVIEW DR",
"city": "SPRING GROVE",
"state": "PA",
"postal_code": "173628449",
"telephone_number": "717-225-3728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 LAKEVIEW DR",
"city": "SPRING GROVE",
"state": "PA",
"postal_code": "173628449",
"telephone_number": "717-225-3728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDO",
"first_name": "MICHAEL",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-05",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC-005425-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Grove, PA
- Barbara Shute, MD
- Spring Grove Area Ambulance Club
- Spring Grove Area School District
- Spring Grove Family Care Center LLC
- Belinda Strouse, M ED
- Victoria Hudak CRNP LLC
- Sarah Wagner, LCSW
- Matthew Denver Watkins-Greenholt
- Jacqueline R Weaver, PSY.D.
- Wellspan Medical Group (WellSpan Family Medicine - Spring Grove)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.