Individual provider Active NPI

Stephen A Pokowicz, DC

  • Chiropractor
  • Moscow, PA
National Provider Identifier
1689688160
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5669-L Issued in PA
Practice address
1186 Church St
Moscow, PA 18444-9346
Phone
(570) 842-5131
Fax
(570) 842-5126
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC5669-L PA Primary
Chiropractor 111N00000X AJ5669L PA

Addresses

Primary practice location

1186 Church St
Moscow, PA 18444-9346

Mailing address

1186 Church St
Moscow, PA 18444-9346
Phone (570) 842-5131

Other identifiers 1

IdentifierTypeStateIssuer
D0074692OtherBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120608000306 PA Practitioner - Chiropractic 9931363629 Practice locations: Hawley, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

846 Church St
Hawley, PA 18428-1438
Phone (570) 226-4050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007547NYMDMental Health Counselor
AJ5669LPAMDChiropractor
DC5669-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rocco Diana DC, P.C. Chiropractor PastSince Jun 6, 2021 Accepting new patients
Chiropractic Care Center Chiropractor Past Accepting new patients
Gabriel Chiropractic Center, P.C. Chiropractor Past Accepting new patients
Stephen a Pokowicz, DC PastSince Mar 9, 2015 Accepting new patients

Organizations & group practices 4

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1689688160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 CHURCH ST",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449346",
            "telephone_number": "570-842-5131",
            "fax_number": "570-842-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 CHURCH ST",
            "city": "MOSCOW",
            "state": "PA",
            "postal_code": "184449346",
            "telephone_number": "570-842-5131",
            "fax_number": "570-842-5126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKOWICZ",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC5669-L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ5669L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "D0074692",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.