Individual provider Active NPI

Patrick S Maddigan, D.C.

  • Chiropractor
  • Wexford, PA
National Provider Identifier
1790779429
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003956-L Issued in PA
Practice address
11104 Perry Hwy
Wexford, PA 15090-9367
Phone
(724) 934-0530
Fax
(724) 934-0570
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 003956-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
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150519002727 PA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 5991877201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Palmer College Chiropractic - Davenport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003956-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Maddigan Chiropractic, LLC Chiropractor CurrentSince May 14, 2002 Accepting new patients

Locations

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1790779429",
    "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",
            "fax_number": "724-934-0570"
        },
        {
            "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",
            "fax_number": "724-934-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDIGAN",
        "first_name": "PATRICK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "003956-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.