Active NPI
Maureen T Hannigan, DC
- Sports Physician Chiropractor
- Philadelphia, PA
National Provider Identifier
1609848837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC003526L
- Practice address
- 601 Dupont St
Philadelphia, PA 19128-2615 - Phone
- (215) 483-6948
- Fax
- (215) 483-3839
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC003526L | PA | Primary |
Addresses
Primary practice location
601 Dupont St
Philadelphia, PA 19128-2615
Mailing address
601 Dupont St
Philadelphia, PA 19128
Phone (215) 483-6948
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0071392000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 071116664 | Medicaid | PA | |
| 0467520 | Other | PA | AETNA USHC |
| 616812 | Other | PA | CIGNA PPO |
| 10928301 | Other | PA | CAQH |
| 42548 | Other | PA | AWHN |
| J16871 | Other | PA | INTERCOUNTY |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC003526L | PA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Maureen T. Hannigan, DC | Past | Accepting new patients |
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.
-
- Chiropractor
- Philadelphia, PA
- NPI 1275724437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1609848837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 DUPONT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19128",
"telephone_number": "215-483-6948",
"fax_number": "215-483-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 DUPONT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191282615",
"telephone_number": "215-483-6948",
"fax_number": "215-483-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNIGAN",
"first_name": "MAUREEN",
"middle_name": "T",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "PA",
"license": "DC003526L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "0071392000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "071116664",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC",
"identifier": "0467520",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "616812",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10928301",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AWHN",
"identifier": "42548",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERCOUNTY",
"identifier": "J16871",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.