Seth Adam Wytrwal, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3603 Issued in MA

Practice address

31 Lake St Ste 151
Gardner, MA 01440

Phone

(978) 632-9500

NPI assigned

Mar 26, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myocore LLCGroup PAC ID 9830267277, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myocore, LLC

  • Chiropractor
  • Kansas City, MO
  • NPI 1316138316

  TX

  Medicare reassignment Care Compare group NPD
• Richard E Genovese

  • Foot & Ankle Surgery Podiatrist
  • Gardner, MA
  • NPI 1477792034
  NPD (past)

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1528563392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "SOUTH BARRE",
            "state": "MA",
            "postal_code": "010740018",
            "telephone_number": "303-517-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 LAKE ST STE 151",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "01440",
            "telephone_number": "978-632-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYTRWAL",
        "first_name": "SETH",
        "middle_name": "ADAM",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wood'S EMS Inc
• Marie Edith Woodard, M.S. CCC-SLP
• Jamie David Woods
• John Worden, M.D.
• Rebecca M. Worden, M.D.
• Brian P Yacino, LADC-II
• Spencer Yacino
• Lena Yacoubian, PHARMD
• Johnny Yang, PHARMD
• Dimitra S Yiannos, RPH

• Chiropractor in Gardner, MA
• Providers in Gardner, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.