Individual provider Active NPI

Mary Ann Hordesky-Sedorovitz, DC

  • Chiropractor
  • Scranton, PA
National Provider Identifier
1063408839
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006921L Issued in PA
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

Updated by the provider on Nov 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7416479OtherAETNA HEALTH INS
001549229OtherPAHIGHMARK BLUESHIELD

Other names 1

  • Mary Ann Michele Hordesky-Sedorovitz Professional name

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.