Individual provider Active NPI

George E Fraudin Jr., D.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1588778245
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002566L Issued in PA
Practice address
1030 Boyce Rd
Pittsburgh, PA 15241-3907
Phone
(412) 257-8090
Fax
(412) 257-8121
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002566L PA Primary

Addresses

Primary practice location

1030 Boyce Rd
Pittsburgh, PA 15241-3907

Mailing address

1030 Boyce Rd
Pittsburgh, PA 15241-3907
Phone (412) 257-8090

Other identifiers 1

IdentifierTypeStateIssuer
422117OtherPABLUE CROSS/ BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000205 PA Practitioner - Chiropractic 8628083656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fraudin Chiromed P.C.Group PAC ID 2365480415, 2 clinicians

Practice addresses (Care Compare)

1030 Boyce Rd
Pittsburgh, PA 15241-3907
Phone (412) 257-8090

1236 Grove Rd
Pittsburgh, PA 15234-2311
Phone (412) 668-3159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC002566LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fraudin Chiromed P.C. Chiropractor CurrentSince Feb 23, 2012 Accepting new patients
Grove Chiropractic LLC Chiropractor CurrentSince Jun 15, 2020 Accepting new patients

Locations

1236 Grove Rd
Pittsburgh, PA 15234
Phone (412) 668-3159

1030 Boyce Rd
Upper St Clair, PA 15241
Phone (412) 257-8090

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1588778245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BOYCE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413907",
            "telephone_number": "412-257-8090",
            "fax_number": "412-257-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BOYCE RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413907",
            "telephone_number": "412-257-8090",
            "fax_number": "412-257-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAUDIN",
        "first_name": "GEORGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002566L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "422117",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.