Individual provider Active NPI

Aaron Douglas Maddas, DC

  • Chiropractor
  • McClellandtown, PA
National Provider Identifier
1871865022
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010549 Issued in PA
Practice address
870 McClellandtown Rd
Suite 7
MC Clellandtown, PA 15458-1116
Phone
(724) 430-4924
Fax
(724) 430-4925
NPI assigned
Feb 3, 2012
Last updated
Jun 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010549 PA Primary

Addresses

Primary practice location

870 McClellandtown Rd
Suite 7
MC Clellandtown, PA 15458-1116

Mailing address

870 McClellandtown Rd
Suite 7
MC Clellandtown, PA 15458-1116
Phone (724) 430-4924

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000523 PA Practitioner - Chiropractic 8921254046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010549PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rosewood Medical LLC CurrentSince Nov 22, 2022 Accepting new patients

Locations

870 McClellandtown Rd
Mc Clellandtown, PA 15458
Phone (724) 430-4924

870 McClellandtown Rd
Ste 7
McClellandtwn, PA 15458
Phone (412) 564-3210

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1871865022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 MCCLELLANDTOWN RD",
            "address_2": "SUITE 7",
            "city": "MC CLELLANDTOWN",
            "state": "PA",
            "postal_code": "154581116",
            "telephone_number": "724-430-4924",
            "fax_number": "724-430-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MCCLELLANDTOWN RD",
            "address_2": "SUITE 7",
            "city": "MC CLELLANDTOWN",
            "state": "PA",
            "postal_code": "154581116",
            "telephone_number": "724-430-4924",
            "fax_number": "724-430-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDAS",
        "first_name": "AARON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McClellandtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.