BEAU TYLER FISHEL (NPI# 1457868630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457868630 |
| Entity Type | Individual |
| Full Name | BEAU TYLER FISHEL |
| Credential | DC |
| Practice Address |
253 W Springfield Rd Arcola IL 61910-1202 |
| Practice Telephone | 2172684999 |
| Mailing Telephone | 2172684999 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2017035623 | MO | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 038.013164 | IL | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 173 Long Rd, Chesterfield, MO 630051255 | 6365301212 |
| Street Address |
253 W SPRINGFIELD RD |
| City | ARCOLA |
| State | IL |
| Zip Code | 61910-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215152814 | Richard Keith Grove | Chiropractor | 253 W Springfield Rd, Arcola, IL 61910-1202 | 2007-04-17 |
| 1710584362 | Jeffery Charles Fishel II | Chiropractor | 253 W Springfield Rd, Arcola, IL 61910-1202 | 2020-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396838041 | Arcola Cu School District | Local Education Agency (LEA) | 351 W Washington, Arcola, IL 61910 | 2006-10-02 |
| 1720012024 | Virginia A Wade | Family Medicine | 600 E County Road 300 N, Arcola, IL 61910 | 2006-07-10 |
| 1437115417 | Arcola Hco, LLC | Skilled Nursing Facility | 422 E 4th South Street, Arcola, IL 61910 | 2006-04-26 |
| 1083858369 | Arcola Cusd#306 | Student in an Organized Health Care Education/Training Program | 351 W Washington St, Arcola, IL 61910-1120 | 2009-04-30 |
| 1346721909 | Torrie Brittain Kosic | Speech-Language Pathologist | 351 W Washington St, Arcola, IL 61910-1120 | 2018-08-22 |
| 1568942076 | Valerie Sue Traub | Speech-Language Pathologist | 351 W Washington St, Arcola, IL 61910-1120 | 2018-08-15 |
| 1083732630 | Sarah Bush Lincoln Health Center | Family Medicine | 241 W Springfield Rd, Arcola, IL 61910-1202 | 2007-03-26 |
| 1871805275 | Terra D Cottrill | Nurse Practitioner | 241 W Springfield Rd, Arcola, IL 61910-1202 | 2010-07-14 |
| 1699094995 | Robert D. Biggs | Family Medicine | 241 W Springfield Rd, Arcola, IL 61910-1202 | 2010-05-26 |
| 1215002894 | C Browne Inc | Pharmacy | 121 W Springfield Rd, Arcola, IL 61910-1302 | 2006-11-21 |
| Find all providers in zip 61910 | ||||
| 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 |
|---|---|---|---|---|
| 1215152814 | Richard Keith Grove | Chiropractor | 253 W Springfield Rd, Arcola, IL 61910-1202 | 2007-04-17 |
| 1710584362 | Jeffery Charles Fishel II | Chiropractor | 253 W Springfield Rd, Arcola, IL 61910-1202 | 2020-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861347 | Evan Charles Mojica | Chiropractor | 1803 W State St Ste 150, Geneva, IL 60134-3692 | 2020-11-06 |
| 1407454424 | Mikel Marshall | Chiropractor | 881 S Lorraine Rd Apt 103, Wheaton, IL 60189-6924 | 2020-10-12 |
| 1912505157 | David Anthony Wesdock | Chiropractor | 208 Parkinson St, Normal, IL 61761-3079 | 2020-10-10 |
| 1902403124 | Maranda Joe Humphreys | Chiropractor | 2150 Manchester Rd Ste 100, Wheaton, IL 60187-2474 | 2020-10-01 |
| 1023625654 | Kennedy Nicole Brauer | Chiropractor | 208 Flax Dr Ste 200, Highland, IL 62249-1394 | 2020-09-28 |
| 1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
| 1639785330 | Eve Marie Greenwell | Chiropractor | 143 N Henderson St, Mt Zion, IL 62549-1313 | 2020-09-17 |
| 1588279640 | Guadalupe Garcia | Chiropractor | 2745 Maple Ave Ste 2d, Lisle, IL 60532-3231 | 2020-09-14 |
| 1770197774 | Align Services Bloomington Pllc | Chiropractor | 2309 E Empire St Ste 200a, Bloomington, IL 61704-8636 | 2020-09-07 |
| 1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.