NEWBURGH CHIROPRACTIC PSC (NPI# 1447461132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447461132 |
| Entity Type | Organization |
| Organization Name | NEWBURGH CHIROPRACTIC PSC |
| Practice Address |
8211 W State Route 66 Newburgh IN 47630-2534 |
| Practice Telephone | 8128581008 |
| Practice Fax Number | 8128581001 |
| Mailing Telephone | 8128581008 |
| Mailing Fax Number | 8128581001 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2010-07-26 |
| Authorized Official Name | DR. SHAUN P TYMCHAK (DIRECTOR) |
| Authorized Official Telephone | 8128581008 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08002011A | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | SIHO | 116439 | 01 |
| IN | 200366440A | 05 | |
| IN | ANTHEM | 000000314297 | 01 |
| Street Address |
8211 W STATE ROUTE 66 |
| City | NEWBURGH |
| State | IN |
| Zip Code | 47630-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243870 | Shaun P Tymchak | Chiropractor | 8211 W State Route 66, Newburgh, IN 47630-2534 | 2005-05-30 |
| 1093132821 | Newburgh Urgent Care LLC | Clinic/Center | 8211 W State Route 66, Suite A, Newburgh, IN 47630-2534 | 2014-03-18 |
| 1578821740 | Ohio Valley Pain Intervention LLC | Nurse Practitioner | 8211 W State Route 66, Newburgh, Newburgh, IN 47630-2534 | 2012-04-25 |
| 1730496563 | Julie A Crowe | Nurse Practitioner | 8211 W State Route 66, Suite A, Newburgh, IN 47630-2534 | 2010-08-31 |
| 1336470616 | Genesis Health and Wellness LLC | General Practice | 8211 W State Route 66, Newburgh, IN 47630-2534 | 2010-01-26 |
| 1700046877 | Bobbi J Preston | Physical Therapist | 8211 W State Route 66, Newburgh, IN 47630-2534 | 2008-06-12 |
| 1194855478 | Harriett Deene Mefford | Nurse Practitioner | 8211 W State Route 66, Suite A, Newburgh, IN 47630-2534 | 2007-03-06 |
| 1215016324 | Jack L Foltz | Obstetrics & Gynecology | 8211 W State Route 66, Newburgh, IN 47630-2534 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
| 1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
| 1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
| 1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
| 1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
| 1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
| 1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
| 1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
| 1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
| 1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
| Find all providers in zip 47630 | ||||
| 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 |
|---|---|---|---|---|
| 1548800972 | Matthew Reyad Nesheiwat | Chiropractor | 52 Route 17k Ste 203, Newburgh, NY 12550-3920 | 2020-01-14 |
| 1376069716 | Michael Douglas Ray | Chiropractor | 100 Alexandria, Newburgh, IN 47630-2417 | 2017-08-17 |
| 1518493477 | Zachary Truncali | Chiropractor | 52 N Plank Rd, Newburgh, NY 12550-2116 | 2017-05-11 |
| 1093020307 | Erik John Brower | Chiropractor | 52 Route 17k, Suite 207, Newburgh, NY 12550-3919 | 2010-08-11 |
| 1962690792 | Stephen A Angelone | Chiropractor | 357 S Plank Rd, Newburgh, NY 12550-2527 | 2007-10-05 |
| 1285856880 | Dominick John Denisi | Chiropractor | 5152 Rt 9w, Newburgh, NY 12550-1415 | 2007-05-03 |
| 1881811503 | Dawn M Wider | Chiropractor | 1463 Route 300, Newburgh, NY 12550-2679 | 2007-04-20 |
| 1225171051 | Michelle Susan Abreu | Chiropractor | 428 Fostertown Rd, Newburgh, NY 12550-8802 | 2007-02-14 |
| 1154467488 | Anna Christine Degennaro | Chiropractor | 1458 Route 300, Newburgh, NY 12550-2677 | 2007-01-30 |
| 1861547721 | Dane Edward Clark | Chiropractor | 4 5th Ave, Newburgh, NY 12550-2716 | 2007-01-23 |
| Find all providers in NEWBURGH | ||||
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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.