Individual provider Active NPI

Tony Wano, D.C.

  • Sports Physician Chiropractor
  • Washington, PA
National Provider Identifier
1578528964
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
DC005027L Issued in PA
Practice address
193 W Beau St
Jefferson Court Plaza
Washington, PA 15301-4401
Phone
(724) 222-8322
Fax
(724) 222-8940
NPI assigned
Apr 19, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC005027L PA Primary

Addresses

Primary practice location

193 W Beau St
Jefferson Court Plaza
Washington, PA 15301-4401

Mailing address

193 W Beau St
Jefferson Court Plaza
Washington, PA 15301-4401
Phone (724) 222-8322

Other identifiers 1

IdentifierTypeStateIssuer
0016115200004MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202001041 PA Practitioner - Chiropractic 1759274053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1991
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

193 W Beau St
Washington, PA 15301-4401
Phone (724) 222-8322

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC005027LPAMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wano Chiropractic Weight Loss & Nutrition Centers, Inc. Sports Physician CurrentSince Jul 25, 2003 Accepting new patients
Mua of Washington, LLC PastSince Mar 1, 2009 Accepting new patients

Locations

1049 Waterdam Plaza Dr
Mc Murray, PA 15317
Phone (724) 299-3705

193 W Beau St
Washington, PA 15301
Phone (724) 222-8322

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1578528964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 W BEAU ST",
            "address_2": "JEFFERSON COURT PLAZA",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014401",
            "telephone_number": "724-222-8322",
            "fax_number": "724-222-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 W BEAU ST",
            "address_2": "JEFFERSON COURT PLAZA",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014401",
            "telephone_number": "724-222-8322",
            "fax_number": "724-222-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANO",
        "first_name": "TONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC005027L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016115200004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.