Organization Active NPI

Maddigan Chiropractic, LLC

  • Chiropractor
  • Wexford, PA
National Provider Identifier
1760515001
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3956-L Issued in PA
Legal business name
MADDIGAN CHIROPRACTIC, LLC
Practice address
11104 Perry Hwy
Wexford, PA 15090-9367
Phone
(724) 934-0530
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Patrick S Maddigan, D.C.NPI 1790779429
Title
Chiropractor
Phone
(724) 934-0530

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 3956-L PA Primary

Addresses

Primary practice location

11104 Perry Hwy
Wexford, PA 15090-9367

Mailing address

11104 Perry Hwy
Wexford, PA 15090-9367
Phone (724) 934-0530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080702000127 PA Part B Supplier - Clinic/Group Practice 0042382350 Receives reassigned benefits from 1 practitioner
Practice locations: Wexford, PA

National Provider Directory

National Provider Directory

Locations

11104 Perry Hwy
Wexford, PA 15090
Phone (724) 934-0530

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1760515001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909367",
            "telephone_number": "724-934-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909367",
            "telephone_number": "724-934-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDIGAN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MADDIGAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "724-934-0530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "3956-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.