Organization Active NPI

Marceau Chiropractic & Rehab, LLC

  • Chiropractor
  • Swansea, MA
National Provider Identifier
1649306572
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2096 Issued in MA
Legal business name
MARCEAU CHIROPRACTIC & REHAB, LLC
Practice address
167 Swansea Mall Dr
Swansea, MA 02777-4102
Phone
(508) 675-7246
Fax
(508) 673-9073
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Dr. George A Marceau, DCNPI 1841326220
Title
Chiropractorowner
Phone
(508) 675-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH2096 MA Primary

Addresses

Primary practice location

167 Swansea Mall Dr
Swansea, MA 02777-4102

Mailing address

167 Swansea Mall Dr
Swansea, MA 02777-4102
Phone (508) 675-7246

Other identifiers 4

IdentifierTypeStateIssuer
2634582OtherMAAETNA
689478OtherMATUFTS HEALTH PLAN
350166OtherMAHARVARD PILGRIM
Y39471OtherMABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051117000224 MA Part B Supplier - Clinic/Group Practice 5698794725 Receives reassigned benefits from 1 practitioner
Practice locations: Swansea, MA

National Provider Directory

National Provider Directory

Locations

167 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 379-1020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1649306572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 SWANSEA MALL DR",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774102",
            "telephone_number": "508-675-7246",
            "fax_number": "508-673-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 SWANSEA MALL DR",
            "city": "SWANSEA",
            "state": "MA",
            "postal_code": "027774102",
            "telephone_number": "508-675-7246",
            "fax_number": "508-673-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCEAU CHIROPRACTIC & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "MARCEAU",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOROWNER",
        "authorized_official_telephone_number": "508-675-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "CH2096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2634582",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "689478",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "350166",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y39471",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.