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Deactivated NPI 1184790875 Deactivated / Inactive NPI Male Practitioner

Dr. Gary Joel Leidy , DC

Chiropractor • Pine Grove, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gary Leidy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 27, 2006
NPI Deactivation Date October 14, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Leidy, DC was a registered Chiropractor practicing in Pine Grove, PA. Throughout an active medical career spanning 13 years, Dr. Leidy provided care at the practice location at 43 S TULPEHOCKEN ST until profile deactivation on 2019-10-14.

Practice Location & Contact Primary Location

Practice Address

43 S Tulpehocken St

Pine Grove, PA 179631139

Telephone 5703452925
Fax 5703452925

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Pine Grove, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Pine Grove, PA (4175 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License PA DC005136-L

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 14, 2019

Record deactivated on October 14, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 43 S TULPEHOCKEN ST, PINE GROVE, PA 179631139 (Tel: 5703452925)

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Updated Business Mailing Address July 08, 2007

Registered at 43 S TULPEHOCKEN ST, PO BOX 215, PINE GROVE, PA 179631139 (Tel: 5703452925)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GARY LEIDY, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #DC005136-L in PA)

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Initial NPI Registration & Enumeration November 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184790875
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 27, 2006
Last Update: July 08, 2007
Deactivation Date: October 14, 2019

Mailing Address

43 S Tulpehocken St, Po Box 215

Pine Grove, PA 179631139

Phone: 5703452925

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.