Individual provider Active NPI

Michael A Pasternack, DC

  • Chiropractor
  • Winchester, VA
National Provider Identifier
1861565822
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1035 Issued in VA
Practice address
609 Cedar Creek Grade Ste B
Winchester, VA 22601-2721
Phone
(540) 545-7891
Fax
(540) 545-7893
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1035 VA Primary

Addresses

Primary practice location

609 Cedar Creek Grade Ste B
Winchester, VA 22601-2721

Mailing address

609 Cedar Creek Grade
Suite B
Winchester, VA 22601-2721
Phone (540) 545-7891

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090518000414 VA Practitioner - Chiropractic 3678520921 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1035VAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Medical Clinic LLC CurrentSince Apr 1, 2014 Accepting new patients
Mlpa Inc Chiropractor Past Accepting new patients
Active Healthcare,P.C. Chiropractor Past Accepting new patients
Integrated Health Center of Hanover LLC Chiropractor PastSince Jun 1, 2008 Accepting new patients

Locations

3038 Valley Ave
Winchester, VA 22601
Phone (540) 508-0651

609 Cedar Creek Grade
Ste B
Winchester, VA 22601
Phone (540) 545-7891

Organizations & group practices 4

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1861565822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CEDAR CREEK GRADE",
            "address_2": "SUITE B",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012721",
            "telephone_number": "540-545-7891",
            "fax_number": "540-545-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 CEDAR CREEK GRADE STE B",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012721",
            "telephone_number": "540-545-7891",
            "fax_number": "540-545-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTERNACK",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "1035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.