Michael Charles Pangonis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC007733L Issued in PA

Practice address

300 Fountain Ave
Ellwood City, PA 16117-2183

Phone

(724) 758-5733

Fax

(724) 758-7617

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Pangonis Chiropractic Clinic Incorporated

  • Chiropractor
  • Ellwood City, PA
  • NPI 1801357660
  Medicare reassignment NPD Authorized official
• Sheffield Chiropractic Clinic P.C.

  • Chiropractor
  • Aliquippa, PA
  • NPI 1245361757
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1992896211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FOUNTAIN AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172183",
            "telephone_number": "724-758-5733",
            "fax_number": "724-758-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FOUNTAIN AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172183",
            "telephone_number": "724-758-5733",
            "fax_number": "724-758-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGONIS",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007733L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ007733L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "PA826363",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "114030",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Outreach Care Group, Inc
• Outreach Care Group, Inc.
• Heather Palmer, P.T.
• Christopher Panek, DPM
• Pangonis Chiropractic Clinic Incorporated
• Loukia Papatheodorou, MD
• Melinda Dale Pasquale, MPT
• Thomas E Patrick, RPH
• Peace Painters Inc
• Marcy L Pearsall, PH.D., LCSW

• Chiropractor in Ellwood City, PA
• Providers in Ellwood City, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.