Clay Andrew Gormish, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-2465-L Issued in PA

Practice address

1821 Plank Rd.
Carrolltown, PA 15722-0630

Phone

(814) 344-8883

Fax

(814) 344-8685

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gormish Chiropractic and Rehabilitation, Inc.Group PAC ID 8426096520, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gormish Chiropractic & Rehabilitation, Inc.

  • Chiropractor
  • Carrolltown, PA
  • NPI 1205858362
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922021732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157220630",
            "telephone_number": "814-344-8883",
            "fax_number": "814-344-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 PLANK RD.",
            "city": "CARROLLTOWN",
            "state": "PA",
            "postal_code": "157220630",
            "telephone_number": "814-344-8883",
            "fax_number": "814-344-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMISH",
        "first_name": "CLAY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-2465-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010775490001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Conemaugh Health Initiatives
• Conemaugh Health Initiatives
• Carrie Jo D'Andrea
• DLP Conemaugh Physician Practices LLC
• Gormish Chiropractic & Rehabilitation, Inc.
• Deron John Gormish, DC
• David James Gresko, LPC
• John Carroll Ambulance Assn
• Joseph Rezk
• Shannon Renee Kirsch

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.