Individual provider Active NPI

Michael S. Frigiola, D.C.

  • Chiropractor
  • Brodheadsville, PA
National Provider Identifier
1679535090
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC1701 Issued in PA
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

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11581698OtherPACAQH
603306300OtherPADEPT OF LABOR - OWCP
5802962OtherPAGHI
000012812OtherPAHIGHMARK BLUE CROSS
50004880OtherPACAPITAL
7637449OtherPACIGNA
0005284070OtherPAAETNA HEALTH MGMT, LLC
50004880OtherPACAPITAL BLUE CROSS
000012812OtherPABLUECARE PPO
2327552830OtherPAHORIZON BLUE CROSS OF NJ
9206993OtherPAPHCS
810228OtherPAFIRST PRIORITY HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DC1701PAMDChiropractor

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.

Verify at the official NPI Registry.