Individual provider Active NPI

Stuart Joseph Surkosky, DC

  • Chiropractor
  • Renfrew, PA
National Provider Identifier
1982788451
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005245 Issued in PA
Practice address
837 Evans City Rd
#202
Renfrew, PA 16053
Phone
(724) 789-9797
Fax
(724) 789-9910
NPI assigned
Oct 24, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC005245 PA Primary
Chiropractor 111N00000X AJ005245 PA

Addresses

Primary practice location

837 Evans City Rd
#202
Renfrew, PA 16053

Mailing address

837 Evans City Rd
#202
Renfrew, PA 16053
Phone (724) 789-9797

Other identifiers 1

IdentifierTypeStateIssuer
448263OtherPAHEALTH AMERICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120725000655 PA Practitioner - ChiropracticPractitioner - Sports MedicinePractitioner - Physical Medicine and Rehabilitation 4284725391 Practice locations: Renfrew, PA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation, Sports Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

837 Evans City Rd
Suite 202
Renfrew, PA 16053-9213
Phone (724) 789-9797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AJ005245PAMDChiropractor
DC005245PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart Joseph Surkosky Chiropractor PastSince Jul 1, 2001 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982788451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 EVANS CITY RD",
            "address_2": "#202",
            "city": "RENFREW",
            "state": "PA",
            "postal_code": "16053",
            "telephone_number": "724-789-9797",
            "fax_number": "724-789-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 EVANS CITY RD",
            "address_2": "#202",
            "city": "RENFREW",
            "state": "PA",
            "postal_code": "16053",
            "telephone_number": "724-789-9797",
            "fax_number": "724-789-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURKOSKY",
        "first_name": "STUART",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005245",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ005245",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "448263",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renfrew, PA

Sources for this page

Verify at the official NPI Registry.