Jason A Fedore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009385 Issued in PA

Practice address

2490 Mosside Blvd
Monroeville, PA 15146-4236

Phone

(412) 609-8130

NPI assigned

Sep 26, 2006

Last updated

Nov 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1275634495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151060791",
            "telephone_number": "412-655-4362",
            "fax_number": "412-504-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 MOSSIDE BLVD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151464236",
            "telephone_number": "412-609-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDORE",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1736661",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohammad Farooq
• Ben Farrar, DPT
• Carrie Ann Farrow
• Vanessa Fazio Sumrok
• Linda Jean Fedorchak, C.R.N.A.
• Stewart Lewis Feldman, M.D.
• Gregory John Ferenchak, MD
• Loretta(Lori) J Feriero-Jakiela, CRNA
• Allyson P Ferrell
• Rosalie Ferrer

• Chiropractor in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.