Individual provider Active NPI

Susan I. Harchak, D.C.

  • Chiropractor
  • Philipsburg, PA
National Provider Identifier
1679539431
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC003451L Issued in PA
Practice address
1114 Walton St
Philipsburg, PA 16866-2748
Phone
(814) 342-3591
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC003451L PA Primary

Addresses

Primary practice location

1114 Walton St
Philipsburg, PA 16866-2748

Mailing address

1114 Walton St
Philipsburg, PA 16866-2748
Phone (814) 342-3591

Other identifiers 1

IdentifierTypeStateIssuer
0011294660001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060118000436 PA Practitioner - Chiropractic 1355365214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harchak Chiropractic Clinic LLCGroup PAC ID 9537183595, 2 clinicians

Practice addresses (Care Compare)

1114 Walton St
Philipsburg, PA 16866-2748
Phone (814) 342-3591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC003451LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Central Pennsylvania Health & Wellness, LLC Past Accepting new patients

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1679539431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 WALTON ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662748",
            "telephone_number": "814-342-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 WALTON ST",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168662748",
            "telephone_number": "814-342-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARCHAK",
        "first_name": "SUSAN",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC003451L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011294660001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philipsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.