Active NPI
Scott L Colello, DC
- Chiropractor
- Plymouth, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3622
- Practice address
- 10 Cordage Park Cir Ste 227
Plymouth, MA 02360-7318 - Phone
- (508) 830-6991
- NPI assigned
- Aug 7, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 3622 | MA | Primary |
Addresses
Primary practice location
10 Cordage Park Cir Ste 227
Plymouth, MA 02360-7318
Mailing address
10 Cordage Park Cir Ste 227
Plymouth, MA 02360-7318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180925001419 | MA | Practitioner - Chiropractic | 0143571562 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jordan Physician Associates Inc
Practice addresses (Care Compare)
10 Cordage Park Cir
Suite 227
Plymouth, MA 02360-7318
Phone (508) 830-6991
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3622 | MA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Physician Associates, Inc. | Current | Accepting new patients | |
| Jordan Physician Associates, Inc. | Current | Accepting new patients |
Locations
10 Cordage Park Cir
Ste 225
Plymouth, MA 02360
Phone (508) 830-6991
10 Cordage Park Cir
Ste 227
Plymouth, MA 02360
Phone (508) 746-1259
275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000
46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920
Interoperability endpoints
- scolello252783@direct.bilh.masshiway.net
Organizations & group practices 2
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Plymouth, MA
- NPI 1194263186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1225517733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CORDAGE PARK CIR STE 227",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023607318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CORDAGE PARK CIR STE 227",
"city": "PLYMOUTH",
"state": "MA",
"postal_code": "023607318",
"telephone_number": "508-830-6991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLELLO",
"first_name": "SCOTT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-07",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.