Michael Fedorczyk

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

S01650 Issued in MD

Legal business name

MICHAEL FEDORCZYK

Practice address

10020 Southern Maryland Blvd
Suite 202
Dunkirk, MD 20754-3031

Phone

(410) 286-3335

Fax

(410) 286-0383

NPI assigned

Aug 23, 2006

Last updated

Oct 13, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Fedorczyk, D.C.NPI 1730192733

Title

Owner - Clinic Director

Phone

(410) 286-3335

Specialties & licenses 1

Addresses

Other names 1

• Dunkirk Chiropractic Center Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Fedorczyk, D.C.

  • Chiropractor
  • Dunkirk, MD
  • NPI 1730192733
  Authorized official Same address or phone

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1831206150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10020 SOUTHERN MARYLAND BLVD",
            "address_2": "SUITE 202",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543031",
            "telephone_number": "410-286-3335",
            "fax_number": "410-286-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 SOUTHERN MARYLAND BLVD",
            "address_2": "SUITE 202",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207543031",
            "telephone_number": "410-286-3335",
            "fax_number": "410-286-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL FEDORCZYK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "FEDORCZYK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER - CLINIC DIRECTOR",
        "authorized_official_telephone_number": "410-286-3335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "S01650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunkirk Chiropractic Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah McDonald, MSN, CRNP-PMH
• James D McNabb, PHARMD
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• Patsy Winona Mengiste, LGP
• Annahid Meyssami, DDS
• Tyler Michael
• Miller Therapeutic Services LLC (Anchored Roots Mental Health)
• Ashley Marie Miller, LCSW-C
• Kassity Miller
• Minuteclinic LLC

• Clinic/Center in Dunkirk, MD
• Providers in Dunkirk, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.