Individual provider Active NPI

Mark Steven Kordonski, D.C.

  • Chiropractor
  • Aberdeen, MD
National Provider Identifier
1316038417
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
03412 Issued in MD
Practice address
998 Hospitality Way
Suite 202
Aberdeen, MD 21001-1779
Phone
(410) 273-5351
Fax
(410) 273-7020
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 03412 MD Primary

Addresses

Primary practice location

998 Hospitality Way
Suite 202
Aberdeen, MD 21001-1779

Mailing address

998 Hospitality Way
Suite 202
Aberdeen, MD 21001-1779
Phone (410) 273-5351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070309000271 MD Practitioner - Chiropractic 8921101098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

998 Hospitality Way
Suite 202
Aberdeen, MD 21001-1760
Phone (410) 800-4781

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Spine Chiropractic LLC Chiropractor CurrentSince Jun 19, 2006 Accepting new patients

Locations

998 Hospitality Way
Ste 202
Aberdeen, MD 21001
Phone (410) 273-5351

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1316038417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 HOSPITALITY WAY",
            "address_2": "SUITE 202",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011779",
            "telephone_number": "410-273-5351",
            "fax_number": "410-273-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 HOSPITALITY WAY",
            "address_2": "SUITE 202",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011779",
            "telephone_number": "410-273-5351",
            "fax_number": "410-273-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORDONSKI",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "03412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.

Verify at the official NPI Registry.