DR. MOSES MICAH JEVICKY (NPI# 1396927901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396927901 |
| Entity Type | Individual |
| Full Name | DR. MOSES MICAH JEVICKY |
| Credential | D.C, |
| Practice Address |
590 Indian Springs Rd Suite 3 Indiana PA 15701-3600 |
| Practice Telephone | 7244652230 |
| Practice Fax Number | 7244652235 |
| Mailing Telephone | 7244652230 |
| Mailing Fax Number | 7244652235 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC009879 | PA | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
AJ009695 | PA | Chiropractic Providers |
| Street Address |
590 INDIAN SPRINGS RD SUITE 3 |
| City | INDIANA |
| State | PA |
| Zip Code | 15701-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871594838 | Karam K Pathan | Urology | 590 Indian Springs Rd, Suite 4, Indiana, PA 15701-3600 | 2005-08-02 |
| 1639661028 | Nicole Rhodes | Dental Hygienist | 590 Indian Springs Rd, Indiana, PA 15701-3600 | 2018-06-01 |
| 1679828081 | Gregory D. Petrilla | Dentist | 590 Indian Springs Rd, Indiana, PA 15701-3600 | 2012-07-23 |
| 1598088189 | Megan Elizabeth Calhoun | Massage Therapist | 590 Indian Springs Rd, Suite 3, Indiana, PA 15701-3600 | 2010-03-10 |
| 1992031215 | Primary Health Network | Clinic/Center | 590 Indian Springs Rd, Indiana, PA 15701-3600 | 2009-10-21 |
| 1306029012 | Maximum Chiropractic | Chiropractor | 590 Indian Springs Rd, Indiana, PA 15701-3600 | 2007-12-17 |
| 1811179740 | Paul Jacob Boston | Chiropractor | 590 Indian Springs Rd, Suite 3, Indiana, PA 15701-3600 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508811 | Paula A. Smulik | Pharmacist | 280 Indian Springs Rd Ste 125, Indiana, PA 15701 | 2019-10-08 |
| 1588143713 | William Aden Bendgen IIi | Counselor | 470 N 4th Street, Indiana, PA 15701 | 2018-08-08 |
| 1699266452 | Shiela Ikasilon Otwane | Nurse Practitioner | 1 Regency Square, 1524 Oakland Avenue, Indiana, PA 15701 | 2018-05-28 |
| 1881184745 | Samantha Nichcol Bennett | Social Worker | 793 Old Rte 119 Hwy U, Indiana, PA 15701 | 2018-05-16 |
| 1780193896 | Abbey Mae Hill | Counselor | 793 Old Rotue 119 Hwy N, Indiana, PA 15701 | 2017-09-21 |
| 1568819456 | Karissa Wess Angleson | Physician Assistant | Indiana Regional Medical Center Emergency Department, 835 Hospital Rd, Indiana, PA 15701 | 2016-05-20 |
| 1588020721 | Forefront Dermatology, S.c. | Dermatology | 120 I.r.m.c. Drive, Suite 130, Indiana, PA 15701 | 2016-01-04 |
| 1881069201 | Amanda J Orvosh | Counselor | 1163 Water St, Indiana, PA 15701 | 2015-12-10 |
| 1245602887 | Susan Marie Marchezak | Nurse Practitioner | 2128 Oakland Avenue, Indiana, PA 15701 | 2015-10-22 |
| 1538546353 | Hillary Beth Stitt | Counselor | 793 Old Rt 119 Hwy N, Community Guidance Center, Indiana, PA 15701 | 2015-04-30 |
| Find all providers in zip 15701 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003242918 | Santoro Chiropractic P.C. | Chiropractor | 795 Philadelphia St, Indiana, PA 15701-3905 | 2013-09-24 |
| 1952674020 | Anselment, P.C. | Chiropractor | 655 Church St Ste 100, Indiana, PA 15701-2789 | 2012-02-20 |
| 1598917254 | Scott William Rowley | Chiropractor | 1063 Indian Springs Rd., Indiana, PA 15701-3021 | 2008-10-14 |
| 1255495032 | Kevin D Mack | Chiropractor | 115 South 8th Street, Indiana, PA 15720 | 2006-12-19 |
| 1164591434 | Glenn Robert Brown | Chiropractor | 170 Heritage Run Road, Indiana, PA 15701 | 2006-11-08 |
| 1740365949 | Daniel Edwin Bash | Chiropractor | 1022 Philadelphia St, Indiana, PA 15701-1676 | 2006-10-26 |
| 1457451478 | John Carl Depasqua | Chiropractor | 100 Ford Dr, Ste 10, Indiana, PA 15701-9403 | 2006-09-22 |
| 1952410896 | Drew P Nance | Chiropractor | 475 Locust Street, Indiana, PA 15701 | 2006-08-30 |
| 1720091903 | David Thomas Young | Chiropractor | 1179 S 6th St, Indiana, PA 15701-3733 | 2006-08-15 |
| 1144274556 | Cook Chiropractic & Rehabilitation PC | Chiropractor | 266 S 7th St, Ste B, Indiana, PA 15701-2946 | 2006-05-20 |
| Find all providers in INDIANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.