Active NPI
Mary Ann Hordesky-Sedorovitz, DC
- Chiropractor
- Scranton, PA
National Provider Identifier
1063408839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC006921L
- Practice address
- 10 Green Ridge St Ste 2
Scranton, PA 18509-1828 - Phone
- (570) 780-8438
- Fax
- (570) 347-1534
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC006921L | PA | Primary |
Addresses
Primary practice location
10 Green Ridge St Ste 2
Scranton, PA 18509-1828
Mailing address
627 Ohara St
Scranton, PA 18505-3307
Phone (570) 780-8438
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7416479 | Other | AETNA HEALTH INS | |
| 001549229 | Other | PA | HIGHMARK BLUESHIELD |
Other names 1
- Mary Ann Michele Hordesky-Sedorovitz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carb CC Two LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Carbondale, PA
- NPI 1477734135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415577600000",
"number": "1063408839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 OHARA ST",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185053307",
"telephone_number": "570-780-8438",
"fax_number": "570-347-1534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 GREEN RIDGE ST STE 2",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185091828",
"telephone_number": "570-780-8438",
"fax_number": "570-347-1534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORDESKY-SEDOROVITZ",
"first_name": "MARY ANN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2014-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC006921L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HEALTH INS",
"identifier": "7416479",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUESHIELD",
"identifier": "001549229",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY ANN",
"last_name": "HORDESKY-SEDOROVITZ",
"middle_name": "MICHELE",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.