Mark C Segerstrom, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

ME0989216 Issued in ME

Practice address

2001 Congress St
Portland, ME 04102-1903

Phone

(207) 879-5433

Fax

(207) 879-5433

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A Better Way Chiropractic

  • Chiropractor
  • Portland, ME
  • NPI 1114015435
  NPD (past) Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033207303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021903",
            "telephone_number": "207-879-5433",
            "fax_number": "207-879-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041021903",
            "telephone_number": "207-879-5433",
            "fax_number": "207-879-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGERSTROM",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ME",
            "license": "ME0989216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBSME ID",
            "identifier": "017234",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE PIN",
            "identifier": "1041785",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vonnett T Seeger, CRNA
• Corrine Seehusen, DO
• Kathryn M Seelen, LMSW-CC
• Alan Scott Segal, M.D.
• Irene O Segarra, PA-C
• Michelle E Segovias, MS, OTR/L
• Tiffany P Segre, MD
• Sejongsa
• Walter Raymond Selens, L.M.T.
• Svenja Seligman, ACNP

• Chiropractor in Portland, ME
• Providers in Portland, ME by specialty
• Chiropractor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.