Andrew Albin Waitkevich, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009868 Issued in PA

Practice address

4055 Ridge Ave Apt 4707
Philadelphia, PA 19129-1587

Phone

(508) 873-5010

NPI assigned

Dec 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialty

Chiropractic

Education

New York Chiropractic College, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Waitkevich Chiropractic, LLC

  dba Andrew Waitkevich, D.C

  • Chiropractor
  • Philadelphia, PA
  • NPI 1437398484
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1972786499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9251 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142205",
            "telephone_number": "215-969-2424",
            "fax_number": "215-464-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 RIDGE AVE APT 4707",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291587",
            "telephone_number": "508-873-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITKEVICH",
        "first_name": "ANDREW",
        "middle_name": "ALBIN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Waite, DDS
• Dara J Waiters, M.D.
• Shirley Jean Waites-Howard, PHD, MSS, LSW
• Nadirah Patricia Waites, MD
• Waitkevich Chiropractic, LLC (Andrew Waitkevich, D.C)
• Simone Wajnsztajn, MD
• Midori Wakabayashi, AUD
• Alexandra Carey Wakefield, CRNP
• Craig Todd Wakefield, DDS
• Katherine Wakefield, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.