Shayna Pezzone, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC011304 Issued in PA

Practice address

3540 Washington Rd
MC Murray, PA 15317-2957

Phone

(724) 941-0707

NPI assigned

Oct 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Legacy Medical Centers LLC

  • Multi-Specialty Clinic/Center
  • McMurray, PA
  • NPI 1013164623

  Chiropractor

  Medicare reassignment NPD

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1891205571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WASHINGTON RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172957",
            "telephone_number": "724-941-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WASHINGTON RD",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172957",
            "telephone_number": "724-941-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZONE",
        "first_name": "SHAYNA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Emily Mestayer Peske, D.O.
• Peters Township School District
• Peters Township Surgery Center, LLC
• Matthew Shane Petrie, M.D.
• Michael Anthony Pezzone, DC
• Beth Phillips
• Brianna Marie Phillips, OTR/L
• Carroll L Phillips, DNP, CRNP
• Physician Landing Zone, P.C. (Waterdam Family Practice)
• Physician Landing Zone, P.C. (Center for Pain Relief)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.