Active NPI
Michael S. Frigiola, D.C.
- Chiropractor
- Brodheadsville, PA
National Provider Identifier
1679535090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC1701
- Practice address
- 110 Shafer Dr
Unit 101
Brodheadsville, PA 18322-7154 - Phone
- (570) 992-7800
- Fax
- (570) 992-0494
- NPI assigned
- Apr 3, 2006
- 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 | DC1701 | PA | Primary |
Addresses
Primary practice location
110 Shafer Dr
Unit 101
Brodheadsville, PA 18322-7154
Mailing address
110 Shafer Dr
Unit 101
Brodheadsville, PA 18322-7154
Phone (570) 992-7800
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11581698 | Other | PA | CAQH |
| 603306300 | Other | PA | DEPT OF LABOR - OWCP |
| 5802962 | Other | PA | GHI |
| 000012812 | Other | PA | HIGHMARK BLUE CROSS |
| 50004880 | Other | PA | CAPITAL |
| 7637449 | Other | PA | CIGNA |
| 0005284070 | Other | PA | AETNA HEALTH MGMT, LLC |
| 50004880 | Other | PA | CAPITAL BLUE CROSS |
| 000012812 | Other | PA | BLUECARE PPO |
| 2327552830 | Other | PA | HORIZON BLUE CROSS OF NJ |
| 9206993 | Other | PA | PHCS |
| 810228 | Other | PA | FIRST PRIORITY HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080307000227 | PA | Practitioner - Chiropractic | 2062597537 | Practice locations: Brodheadsville, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 Shafer Dr
Suite 1
Brodheadsville, PA 18322-7115
Phone (570) 992-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC1701 | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1679535090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 SHAFER DR",
"address_2": "UNIT 101",
"city": "BRODHEADSVILLE",
"state": "PA",
"postal_code": "183227154",
"telephone_number": "570-992-7800",
"fax_number": "570-992-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SHAFER DR",
"address_2": "UNIT 101",
"city": "BRODHEADSVILLE",
"state": "PA",
"postal_code": "183227154",
"telephone_number": "570-992-7800",
"fax_number": "570-992-0494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIGIOLA",
"first_name": "MICHAEL",
"middle_name": "S.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC1701",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11581698",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR - OWCP",
"identifier": "603306300",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5802962",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE CROSS",
"identifier": "000012812",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL",
"identifier": "50004880",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7637449",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH MGMT, LLC",
"identifier": "0005284070",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50004880",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECARE PPO",
"identifier": "000012812",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BLUE CROSS OF NJ",
"identifier": "2327552830",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9206993",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "810228",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brodheadsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.