Individual provider Active NPI

John W. Farabaugh, D.C.

  • Neurology Chiropractor
  • Johnstown, PA
National Provider Identifier
1558533091
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DC009933 Issued in PA
Practice address
360 Goucher St
Johnstown, PA 15905-3400
Phone
(814) 254-4663
NPI assigned
Mar 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009933 PA
Neurology Chiropractor 111NN0400X DC009933 PA Primary

Addresses

Primary practice location

360 Goucher St
Johnstown, PA 15905-3400

Mailing address

360 Goucher St
Johnstown, PA 15905-3400
Phone (814) 254-4663

Other practice location 1

298 Old Route 30
Greensburg, PA 15601-6992
Phone (724) 834-0389

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080820000541 PA Practitioner - Chiropractic 7719052059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

298 Old Route 30
Greensburg, PA 15601-7035
Phone (724) 834-0389

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009933PAMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic and Functional Neurology of Western Pennsylvania Neurology CurrentSince Dec 28, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

298 Old Route 30
Greensburg, PA 15601
Phone (724) 834-0389

360 Goucher St
Johnstown, PA 15905
Phone (814) 254-4663

891 Menoher Blvd
Johnstown, PA 15905
Phone (814) 244-7739

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1558533091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 GOUCHER ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053400",
            "telephone_number": "814-254-4663",
            "fax_number": "814-254-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 GOUCHER ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159053400",
            "telephone_number": "814-254-4663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "298 Old Route 30",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156016992",
            "country_code": "US",
            "telephone_number": "724-834-0389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARABAUGH",
        "first_name": "JOHN",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009933",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "PA",
            "license": "DC009933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.