Individual provider Active NPI

Mary Jo Parkolay, MAC, LAC

  • Acupuncturist
  • Blue Ridge Summit, PA
National Provider Identifier
1821256637
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
U01490 Issued in MD
Practice address
14775 Charmian Rd
Blue Ridge Summit, PA 17214-9789
Phone
(877) 298-5354
NPI assigned
May 29, 2008
Last updated
May 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U01490 MD Primary

Addresses

Primary practice location

14775 Charmian Rd
Blue Ridge Summit, PA 17214-9789

Mailing address

14775 Charmian Rd
Blue Ridge Summit, PA 17214-9789
Phone (877) 298-5354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
U01490MDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1821256637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14775 CHARMIAN RD",
            "city": "BLUE RIDGE SUMMIT",
            "state": "PA",
            "postal_code": "172149789",
            "telephone_number": "877-298-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14775 CHARMIAN RD",
            "city": "BLUE RIDGE SUMMIT",
            "state": "PA",
            "postal_code": "172149789",
            "telephone_number": "877-298-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKOLAY",
        "first_name": "MARY",
        "middle_name": "JO",
        "credential": "MAC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U01490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ridge Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.