Active NPI
Daniel Jack Moschillo, D.C.
- Chiropractor
- Hermitage, PA
National Provider Identifier
1912907999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC008726
- Practice address
- 192 N Buhl Farm Dr
Hermitage, PA 16148-1773 - Phone
- (724) 347-5125
- Fax
- (724) 923-3015
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC008726 | PA | Primary |
Addresses
Primary practice location
192 N Buhl Farm Dr
Hermitage, PA 16148-1773
Mailing address
192 N Buhl Farm Dr
Hermitage, PA 16148-1773
Phone (724) 347-5125
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001469951 | Other | PA | MEDICAL MUTUAL OF OHIO |
| 001469238 | Other | PA | PA BLUE CROSS/BLUE SHIELD |
| 001469951 | Other | PA | HIGHMARK BLUE SHIELD |
| 522375090 | Other | PA | HEALTH ASSURANCE |
| 52-2375090 | Other | PA | PA WORK COMP |
| 1041072 | Other | PA | CIGNA/HEALTH AMERICA |
| 001953053 | Medicaid | PA | |
| 0019530530001 | Medicaid | PA | |
| 3551313 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
192 N Buhl Farm Dr
Hermitage, PA 16148-1773
Phone (724) 347-5125
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC008726 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel J. Moschillo, DC | Chiropractor | Current | Accepting new patients |
Locations
192 N Buhl Farm Dr
Hermitage, PA 16148
Phone (724) 346-3668
Organizations & group practices 2
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.
-
- Chiropractor
- Hermitage, PA
- NPI 1205324654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525219200000",
"number": "1912907999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 N BUHL FARM DR",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161481773",
"telephone_number": "724-347-5125",
"fax_number": "724-347-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 N BUHL FARM DR",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161481773",
"telephone_number": "724-347-5125",
"fax_number": "724-923-3015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSCHILLO",
"first_name": "DANIEL",
"middle_name": "JACK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-29",
"last_updated": "2018-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC008726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OF OHIO",
"identifier": "001469951",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BLUE CROSS/BLUE SHIELD",
"identifier": "001469238",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "001469951",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ASSURANCE",
"identifier": "522375090",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA WORK COMP",
"identifier": "52-2375090",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA/HEALTH AMERICA",
"identifier": "1041072",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001953053",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019530530001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3551313",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.