Individual provider Active NPI

Ellen S Jackson Strobel, DC

  • Chiropractor
  • Fairview, PA
National Provider Identifier
1740280700
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007701L Issued in PA
Practice address
7870 W Ridge Rd
Suite 3
Fairview, PA 16415-1808
Phone
(814) 474-3446
Fax
(814) 474-2535
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007701L PA Primary

Addresses

Primary practice location

7870 W Ridge Rd
Suite 3
Fairview, PA 16415-1808

Mailing address

PO Box 914
7870 West Ridge Rd, Ste 3
Fairview, PA 16415-0914
Phone (814) 474-3446

Other identifiers 1

IdentifierTypeStateIssuer
0013447766OtherPAHIGHMARK BLUE CROSS BLUE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000068 PA Practitioner - Chiropractic 2163481672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7870 W Ridge Rd
Suite 3 Box 914
Fairview, PA 16415-1808
Phone (814) 474-3446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Chiropractic Services, PC Chiropractor CurrentSince Jul 1, 2004 Accepting new patients

Locations

7870 W Ridge Rd
Ste 3
Fairview, PA 16415
Phone (814) 474-3446

Organizations & group practices 1

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1740280700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 914",
            "address_2": "7870 WEST RIDGE RD, STE 3",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164150914",
            "telephone_number": "814-474-3446",
            "fax_number": "814-474-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870 W RIDGE RD",
            "address_2": "SUITE 3",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164151808",
            "telephone_number": "814-474-3446",
            "fax_number": "814-474-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON STROBEL",
        "first_name": "ELLEN",
        "middle_name": "S",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007701L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS BLUE",
            "identifier": "0013447766",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.