Taormina Management, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC006590L Issued in PA

Legal business name

TAORMINA MANAGEMENT, LLC

Doing business as

Wagner Integrative Therapes
Wagner Integrative Therapies

Practice address

875 N Easton Rd Ste 5B
Doylestown, PA 18902-1026

Phone

(215) 230-8100

Fax

(215) 230-8892

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

John Adam Wagner, DCNPI 1881635159

Title

Chiropractor

Phone

(215) 230-8100

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 2

• Wagner Integrative Therapes Doing business as
• Wagner Integrative Therapies Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Taormina Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Taormina Management, LLC

  • Acupuncturist
  • Doylestown, PA
  • NPI 1477091411
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Adam Wagner, DC

  • Chiropractor
  • Doylestown, PA
  • NPI 1881635159
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1982866711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 N EASTON RD STE 5B",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021026",
            "telephone_number": "215-230-8100",
            "fax_number": "215-230-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N EASTON RD STE 5B",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021026",
            "telephone_number": "215-230-8100",
            "fax_number": "215-230-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAORMINA MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "215-230-8100",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC006590L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000858155",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL IDENTIFIER",
            "identifier": "1053559567",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BS",
            "identifier": "0965277000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1881635159",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2059271",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.jadamwagner.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "875 N Easton Rd Ste 5B",
            "city": "Doylestown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "189021026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wagner Integrative Therapes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wagner Integrative Therapes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wagner Integrative Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald Talenti, M.D.
• James L Tamaroff, D.D.S.
• Joseph F Tamburrino, M.D.
• Eric Tan
• Taormina Management, LLC
• Anna Tassari
• Zoe Tawa, DPT
• Kaitlin Taylor
• Robert Tegge III, LMT
• Gregg Scott Teitel, PHARM.D.

• Sports Physician Chiropractor in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Sports Physician Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.