Active NPI
Mark D Losagio, DC,DIBCN
- Neurology Chiropractor
- Bethlehem, PA
National Provider Identifier
1629037825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- DC003864L
- Practice address
- 1220 Illicks Mill Rd
Bethlehem, PA 18017-3654 - Phone
- (610) 865-8155
- Fax
- (610) 758-8998
- NPI assigned
- Mar 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | DC003864L | PA | Primary |
| Chiropractor | 111N00000X | DC003864L | PA |
Addresses
Primary practice location
1220 Illicks Mill Rd
Bethlehem, PA 18017-3654
Mailing address
1220 Illicks Mill Rd
Bethlehem, PA 18017-3654
Phone (610) 865-8155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011539800002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3735 Easton Nazareth Hwy
Suite 103
Easton, PA 18045-8345
Phone (610) 865-8155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC003864L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Losagio Chiropractic Center Inc | Neurology | Current | Accepting new patients |
Locations
1220 Illicks Mill Rd
#D
Bethlehem, PA 18017
1220 Illicks Mill Rd
Bethlehem, PA 18017
Phone (610) 865-8155
3735 Nazareth Rd
Ste 103
Easton, PA 18045
Phone (610) 252-1999
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.
-
- Neurology Chiropractor
- Bethlehem, PA
- NPI 1487600755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410825600000",
"number": "1629037825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 ILLICKS MILL RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180173654",
"telephone_number": "610-865-8155",
"fax_number": "610-758-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 ILLICKS MILL RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180173654",
"telephone_number": "610-865-8155",
"fax_number": "610-758-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOSAGIO",
"first_name": "MARK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC,DIBCN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2014-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "PA",
"license": "DC003864L",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC003864L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011539800002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.