Provider Demographics
NPI:1932161247
Name:SEWICKLEY SPINE & JOINT CENTER PC
Entity type:Organization
Organization Name:SEWICKLEY SPINE & JOINT CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MADELYNNE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:GALATIC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:412-741-3377
Mailing Address - Street 1:1099 OHIO RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-2056
Mailing Address - Country:US
Mailing Address - Phone:412-741-3377
Mailing Address - Fax:412-741-3273
Practice Address - Street 1:1099 OHIO RIVER BLVD
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-2056
Practice Address - Country:US
Practice Address - Phone:412-741-3377
Practice Address - Fax:412-741-3273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004461L111NS0005X
111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA206944OtherUPMC FOR DR. GALATIC
PA2136570OtherAETNA HMO FOR DR. GALATIC
PA001463493OtherBC/BS FOR DR. KARAFA
PAGA085550OtherUNITED FOR DR. GALATIC
PA1021712OtherASH FOR DR. GALATIC
PA1051823OtherASH FOR DR. KARAFA
PA2810788-001OtherCIGNA FOR DR. GALATIC
PA615315OtherUNITED FOR DR. KARFA
PA7363598OtherAETNA PPO FOR DR. KARAFA
PAGA 085550OtherBC/BS FOR DR. GALATIC
PA5477176OtherAETNA PPO FOR DR. GALATIC
PA3499198OtherAETNA HMO FOR DR. KARAFA
PA400006OtherUPMC FOR DR. KARAFA
PA1021712OtherASH FOR DR. GALATIC
PAGA085550OtherUNITED FOR DR. GALATIC
PA001624144 0002Medicaid
PAU43560Medicare UPIN
PA001296455 0002Medicaid
PA085550S05Medicare ID - Type UnspecifiedMADELYNNE GALATIC
PA101429661 0001Medicaid