Individual provider Active NPI

Jason T Madigan, DC

  • Chiropractor
  • Lock Haven, PA
National Provider Identifier
1548242548
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009059 Issued in PA
Practice address
8 N Grove St
Suite B
Lock Haven, PA 17745-3547
Phone
(570) 858-5645
Fax
(570) 858-5687
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009059 PA Primary

Addresses

Primary practice location

8 N Grove St
Suite B
Lock Haven, PA 17745-3547

Mailing address

8 N Grove St
Suite B
Lock Haven, PA 17745-3547
Phone (570) 858-5645

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701000594 PA Practitioner - Chiropractic 5496732059 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC009059PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sport and Spine Chiropractic Rehab Chiropractor CurrentSince Oct 25, 2013 Accepting new patients
Williamsport Wellness Center Inc. Chiropractor PastSince Mar 20, 2022 Accepting new patients
Jenifer L. Dewald, DC PC Chiropractor PastSince Mar 1, 2003 Accepting new patients
Twin Hills Chiropractic Health Center, P.C. Chiropractor PastSince Apr 1, 2005 Accepting new patients

Locations

8 N Grove St
Ste B
Lock Haven, PA 17745
Phone (570) 858-5645

Organizations & group practices 4

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1548242548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N GROVE ST",
            "address_2": "SUITE B",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453547",
            "telephone_number": "570-858-5645",
            "fax_number": "570-858-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N GROVE ST",
            "address_2": "SUITE B",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177453547",
            "telephone_number": "570-858-5645",
            "fax_number": "570-858-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADIGAN",
        "first_name": "JASON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lock Haven, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.