Individual provider Active NPI

Andrew James Hawley, D.C.

  • Chiropractor
  • Montrose, PA
National Provider Identifier
1679740690
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010864 Issued in PA
Practice address
405 Grow Ave
Montrose, PA 18801-1105
Phone
(860) 384-0267
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010864 PA Primary

Addresses

Primary practice location

405 Grow Ave
Montrose, PA 18801-1105

Mailing address

405 Grow Ave
Montrose, PA 18801-1105
Phone (860) 384-0267

Other practice location 1

210 N State St
Clarks Summit, PA 18411-1008
Phone (860) 384-0267

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL C://

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150325000617 PA Practitioner - Chiropractic 7911060959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 Grow Ave
Montrose, PA 18801-1105
Phone (860) 384-0267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DC010864PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Porzio-Hawley Chiropractic & Nutrition Center LLC Chiropractor CurrentSince Oct 4, 2014 Accepting new patients
Apple Valley Health and Family Chiropractic, LLC PastSince Jul 1, 2015 Accepting new patients

Locations

1850 West St
#2
Southington, CT 06489
Phone (860) 620-1705

210 N State St
Clarks Summit, PA 18411
Phone (860) 384-0267

405 Grow Ave
Montrose, PA 18801
Phone (860) 384-0267

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1679740690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 GROW AVE",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "188011105",
            "telephone_number": "860-384-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 GROW AVE",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "188011105",
            "telephone_number": "860-384-0267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N State St",
            "address_purpose": "LOCATION",
            "city": "Clarks Summit",
            "state": "PA",
            "postal_code": "184111008",
            "country_code": "US",
            "telephone_number": "860-384-0267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "C://",
            "affiliation": "N",
            "address_1": "405 Grow Ave",
            "city": "Montrose",
            "state": "PA",
            "country_code": "US",
            "postal_code": "188011105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Montrose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.