DR. DEREK A NIEHAUS (NPI# 1619151776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619151776 |
| Entity Type | Individual |
| Full Name | DR. DEREK A NIEHAUS |
| Credential | D.C. |
| Practice Address |
1002 Spotsylvania St New Athens IL 62264-1597 |
| Mailing Address |
1002 Spotsylvania Street New Athens IL 62264-1597 |
| Practice Telephone | 6184753600 |
| Mailing Telephone | 6184753600 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
IL | Chiropractic Providers |
| Street Address |
1002 SPOTSYLVANIA ST |
| City | NEW ATHENS |
| State | IL |
| Zip Code | 62264-1597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710930177 | David P. Schwartz | Family Medicine | 1002 Spotsylvania St, New Athens, IL 62264-1597 | 2006-05-18 |
| 1801109004 | Pc Associates, LLC | Family Medicine | 1002 Spotsylvania St, New Athens, IL 62264-1597 | 2010-07-16 |
| 1154579878 | Kent D. Mcconnell | Dentist | 1002 Spotsylvania St, New Athens, IL 62264-1597 | 2008-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659740389 | Courtnie Douglas | Physical Therapy Assistant | 501 Chester St Apt 5, New Athens, IL 62264-1218 | 2015-09-23 |
| 1013986439 | New Athens Home for The Aged Inc | Nursing Facility/Intermediate Care Facility | 203 S Johnson St, New Athens, IL 62264-1319 | 2006-03-16 |
| 1558818690 | Lindsey Lehr | Speech-Language Pathologist | 300 S Clinton St, New Athens, IL 62264-1412 | 2016-09-07 |
| 1578199980 | Robin Marion Gunter | Nurse Practitioner | 100 S Jackson St, New Athens, IL 62264-1416 | 2020-03-17 |
| 1841620960 | Freeburg Pharmacy Prof Corp | Pharmacy | 901 Spotsylvania St, New Athens, IL 62264-1569 | 2013-11-27 |
| 1194863977 | Village of New Athens | Emergency Medical Technician, Basic | 301 S. Van Buren St., New Anthens, IL 62264-1569 | 2007-02-02 |
| 1679607147 | Joseph J Harper | Social Worker | 513 Church St, New Athens, IL 62264-1584 | 2007-03-15 |
| 1578514089 | New Athens Cu School Dist 60 | Local Education Agency (LEA) | 501 Hanft St, New Athens, IL 62264-1599 | 2006-05-12 |
| 1336281492 | Steven Mark Newbold | Dentist | 805 Carr Dr, New Athens, IL 62264-1749 | 2007-02-13 |
| 1770016669 | Lynn Eichelberger Fiedler | Social Worker | 3806 Gun Club Rd, New Athens, IL 62264-2218 | 2017-04-06 |
| Find all providers in zip 62264 | ||||
| Taxonomy Code | 111NI0013X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965170 | Shashank Saxena | Chiropractor | 1580 Brittany Ln, Hoffman Estates, IL 60192-1666 | 2020-09-01 |
| 1265085575 | Paige Alexandria Enwright | Chiropractor | 100 N Waukegan Rd Ste 105, Lake Bluff, IL 60044-1600 | 2019-07-17 |
| 1912410044 | Steven Stachura | Chiropractor | 1543 S Randall Rd, Algonquin, IL 60102-5933 | 2017-11-11 |
| 1831332055 | Nixi Wellness | Chiropractor | 20 E. Jefferson St., #24, Naperville, IL 60540 | 2009-04-17 |
| 1356987168 | Alyssa Holum | Chiropractor | 1400 W Northwest Hwy, Palatine, IL 60067-1837 | 2019-11-27 |
| 1851661714 | Gerard Cicero Dc Faco PC | Chiropractor | 5700 W Fullerton Ave, Chicago, IL 60639-2307 | 2012-01-10 |
| 1962789545 | Eric Benjamin Ruble | Chiropractor | 1437 W Montrose Ave, A, Chicago, IL 60613-1348 | 2011-11-09 |
| 1891964375 | Bright Sun Health Care, Inc | Chiropractor | 1604 Sibley Blvd, Calumet City, IL 60409-2231 | 2008-02-28 |
| 1962681080 | Bloomingdale Chiropractic Clinic | Chiropractor | 209 E Army Trail Rd, Glendale Heights, IL 60139-1758 | 2007-10-25 |
| 1356545859 | Kevin D Sager | Chiropractor | 102 S Christy Ave, Sumner, IL 62466-1027 | 2007-06-11 |
| Find all providers with the same taxonomy | ||||
| City | NEW ATHENS |
| Zip Code | 62264 |
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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.