Pangonis Chiropractic Clinic Incorporated

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PANGONIS CHIROPRACTIC CLINIC INCORPORATED

Practice address

300 Fountain Ave
Ellwood City, PA 16117-2183

Phone

(724) 758-5733

NPI assigned

Mar 26, 2019

Last updated

Mar 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Charles Pangonis, DCNPI 1992896211

Title

President

Phone

(724) 758-5733

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Charles Pangonis, D.C.

  • Chiropractor
  • Ellwood City, PA
  • NPI 1992896211
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1801357660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FOUNTAIN AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172183",
            "telephone_number": "724-758-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FOUNTAIN AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172183",
            "telephone_number": "724-758-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANGONIS CHIROPRACTIC CLINIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "PANGONIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-758-5733",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE NUMBER",
            "identifier": "0076575540002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpangonis@zoominternet.net",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 Fountain Ave",
            "city": "Ellwood City",
            "state": "PA",
            "country_code": "US",
            "postal_code": "161172183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Lynn Oneil, PBT / ASCP
• Outreach Care Group, Inc
• Outreach Care Group, Inc.
• Heather Palmer, P.T.
• Christopher Panek, DPM
• Michael Charles Pangonis, D.C.
• Loukia Papatheodorou, MD
• Melinda Dale Pasquale, MPT
• Thomas E Patrick, RPH
• Peace Painters Inc

• Chiropractor in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.