Ian Charles Paskowski, D.C.
Individual provider Active NPI Chiropractor · Plymouth, MA
NPI 1497719280 · NPPES record last updated Oct 15, 2008
Key facts
- NPI
- 1497719280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2706 (MA)
- Practice address
- 10 Cordage Park Cir Ste 225
Plymouth, MA 02360-7318 - Phone
- (508) 830-6991
- Fax
- (508) 830-6993
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2002
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051006000106 | MA | Practitioner - Chiropractic | 9032134366 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2706 | MA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Physician Associates, Inc. | Current |
Accepting new patients | |
| Jordan Physician Associates, Inc. | Current |
Accepting new patients | |
| New England Spine Institute, PC | Past | Accepting new patients | |
| New England Spine Institute PC | Chiropractor | Past |
Accepting new patients |
Locations
46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920
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
Interoperability endpoints
- ipaskowski252687@direct.bilh.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2706 | MA | Yes |
Addresses
Primary practice location
10 Cordage Park Cir Ste 225
Plymouth, MA 02360-7318
Mailing address
10 Cordage Park Cir Ste 225
Plymouth, MA 02360-7318
Phone (508) 830-6991
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2662539 | Other | MA | CIGNA PIN # |
| 3147416 | Other | MA | AETNA PIN # |
| Y36876 | Other | MA | BCBS OF MASS INDIVIDUAL # |
| 352348 | Other | MA | HARVARD PILGRIM PIN # |
| 7932344 | Other | MA | AETNA |
| AA115064 | Other | MA | HARVARD PILGRIM |
| Y39897 | Other | MA | BCBS OF MASS GROUP# |
| 1611020 | Medicaid | MA | |
| 648876 | Other | MA | UNITED HEALTHCARE PIN # |
Other providers in Plymouth, MA
- Elizabeth Paronich
- Vanessa E Parrella
- Linda A Parrillo
- Betsa Parsai Salehi
- Jill A Pasarell
- Aman Patel
- Anit Thakor Patel
- Rupal Patel
- Rushil Atul Patel
- Matthew James Patten
All providers in Plymouth, MA · Chiropractor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.