Active NPI
Anthony P Colasurdo, D.C.
- Chiropractor
- Coopersburg, PA
National Provider Identifier
1679553341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC006858L
- Practice address
- 229 N Main St
Coopersburg, PA 18036-1529 - Phone
- (610) 282-2525
- Fax
- (610) 282-3372
- NPI assigned
- Jan 19, 2006
- Last updated
- Jan 11, 2016
- Sex
- Male
- Sole proprietor
- No
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 | DC006858L | PA | Primary |
Addresses
Primary practice location
229 N Main St
Coopersburg, PA 18036-1529
Mailing address
229 N Main St
Coopersburg, PA 18036-1529
Phone (610) 282-2525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 901524 | Other | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
229 N Main St
Coopersburg, PA 18036-1529
Phone (610) 282-2525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Hospital | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Coopersburg, PA
- NPI 1750395513
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1679553341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 N MAIN ST",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "180361529",
"telephone_number": "610-282-2525",
"fax_number": "610-282-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 N MAIN ST",
"city": "COOPERSBURG",
"state": "PA",
"postal_code": "180361529",
"telephone_number": "610-282-2525",
"fax_number": "610-282-3372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLASURDO",
"first_name": "ANTHONY",
"middle_name": "P",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC006858L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "901524",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Coopersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.