Individual provider Active NPI

Ian Charles Paskowski, D.C.

  • Chiropractor
  • Plymouth, MA
National Provider Identifier
1497719280
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2706 Issued in 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
Last updated
Oct 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2706 MA Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051006000106 MA Practitioner - Chiropractic 9032134366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan Physician Associates IncGroup PAC ID 1254321086, 166 clinicians

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

LicenseStateTypeSpecialty
2706MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. CurrentSince Apr 1, 2008 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Apr 1, 2008 Accepting new patients
New England Spine Institute PC Chiropractor PastSince Feb 15, 2008 Accepting new patients
New England Spine Institute, PC Past 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

  • Direct secure messaging: ipaskowski252687@direct.bilh.masshiway.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224028800000",
    "number": "1497719280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CORDAGE PARK CIR STE 225",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607318",
            "telephone_number": "508-830-6991",
            "fax_number": "508-830-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CORDAGE PARK CIR STE 225",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607318",
            "telephone_number": "508-830-6991",
            "fax_number": "508-830-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASKOWSKI",
        "first_name": "IAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2706",
            "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 Oct 15, 2008; 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.