Synergy Chiropractic of Richland PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009904 Issued in PA

Legal business name

SYNERGY CHIROPRACTIC OF RICHLAND PC

Practice address

3209 Elton Rd
Johnstown, PA 15904-2807

Phone

(814) 262-0400

Fax

(814) 262-0200

NPI assigned

Jun 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Michael Sullivan, DC

Title

Officer

Phone

(814) 262-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1811216823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 ELTON RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042807",
            "telephone_number": "814-262-0400",
            "fax_number": "814-262-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 ELTON RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159042807",
            "telephone_number": "814-262-0400",
            "fax_number": "814-262-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY CHIROPRACTIC OF RICHLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "814-262-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021392450001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannyn Swallow
• Forrest Swan Jr., M.D.
• Michele Marie Swanhart, CRNP
• Switch Mental Health Services Inc
• Synergy Chiropractic of Johnstown PC
• Emileigh Syster
• Kiersten Lynn Szczur
• Malek Tabbara, MD
• Cynthia Tarachko, RN
• Joseph Francis Taranto, D.C.

• Chiropractor in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.