Active NPI
Mark Fedorczyk, D.C.
- Chiropractor
- Frederick, MD
National Provider Identifier
1447433685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- SO1649
- Practice address
- 1050 Key Pkwy
Suite 202
Frederick, MD 21702-4056 - Phone
- (301) 846-2273
- Fax
- (301) 620-2273
- NPI assigned
- Dec 11, 2007
- Sex
- Male
- 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 | SO1649 | MD | Primary |
Addresses
Primary practice location
1050 Key Pkwy
Suite 202
Frederick, MD 21702-4056
Mailing address
1005 Cheryls CT
Frederick, MD 21703-8400
Phone (240) 357-0342
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SO1649 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Universal Healthcare Specialists, LLC | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Practice Physician
- Frederick, MD
- NPI 1740565506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197331200000",
"number": "1447433685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 CHERYLS CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217038400",
"telephone_number": "240-357-0342",
"fax_number": "301-696-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 KEY PKWY",
"address_2": "SUITE 202",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024056",
"telephone_number": "301-846-2273",
"fax_number": "301-620-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDORCZYK",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-11",
"last_updated": "2007-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "SO1649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.