Organization Active NPI

Michael E Barvinchack, DC, PC

  • Clinic/Center
  • Hagerstown, MD
National Provider Identifier
1699056010
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
01964 Issued in MD
Legal business name
MICHAEL E BARVINCHACK, DC, PC
Practice address
19426 Leitersburg Pike
Hagerstown, MD 21742-1468
Phone
(301) 714-4929
Fax
(301) 714-1383
NPI assigned
Aug 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Dr. Michael Evon Barvinchack, D.C.NPI 1689781809
Title
Director
Phone
(301) 714-4929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 01964 MD Primary

Addresses

Primary practice location

19426 Leitersburg Pike
Hagerstown, MD 21742-1468

Mailing address

19426 Leitersburg Pike
Hagerstown, MD 21742-1468
Phone (301) 714-4929

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121218000356 MD Part B Supplier - Clinic/Group Practice 4587816624 Receives reassigned benefits from 1 practitioner
Practice locations: Hagerstown, MD

National Provider Directory

National Provider Directory

Locations

19426 Leitersburg Pike
Ste 4
Hagerstown, MD 21742
Phone (301) 714-4929

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1699056010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19426 LEITERSBURG PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421468",
            "telephone_number": "301-714-4929",
            "fax_number": "301-714-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19426 LEITERSBURG PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421468",
            "telephone_number": "301-714-4929",
            "fax_number": "301-714-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E BARVINCHACK, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "BARVINCHACK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EVON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-714-4929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "01964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.