Dr. Mark Mcclain Saccoman , DC
Chiropractor • Jerome, ID
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Saccoman has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mark Saccoman, DC was a registered Chiropractor practicing in Jerome, ID. Throughout an active medical career spanning 14 years, Dr. Saccoman provided care at the practice location at 213 S LINCOLN AVE until profile deactivation on 2021-04-08.
Practice Location & Contact Primary Location
213 S Lincoln Ave
Jerome, ID 833382624
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Jerome, ID
Practicing in Jerome, ID (740 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 08, 2021
NPI status registered as active in NPPES database
Registered at 213 S LINCOLN AVE, JEROME, ID 833382624 (Tel: 2083240222)
Registered at 338 BLUE LAKES BLVD. NORTH, TWIN FALLS, ID 833014827 (Tel: 2083164753)
Recorded as MARK SACCOMAN, D.C.
Chiropractor (License #CHIA-650 in ID)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
338 Blue Lakes Blvd. North
Twin Falls, ID 833014827
Phone: 2083164753
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