PROACTIVE HEALTH, INC (NPI# 1710168620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710168620 |
| Entity Type | Organization |
| Organization Name | PROACTIVE HEALTH, INC |
| Other Organization Name | PROACTIVE HEALTH |
| Practice Address |
1635 N Ironwood Dr South Bend IN 46635-1891 |
| Practice Telephone | 5742711771 |
| Practice Fax Number | 5742718014 |
| Mailing Telephone | 5742711771 |
| Mailing Fax Number | 5742718014 |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2007-11-19 |
| Authorized Official Name | DR. RICHARD DOUGLAS PATTERSON (V. PRESIDENT) |
| Authorized Official Telephone | 5742711771 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08002095A | IN | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| ProActive Health | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598875007 | Proactive Health, Inc | Preventive Medicine | 4500 E 9th Ave, Suite 740s, Denver, CO 80220-3900 | 2006-08-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | PROACTIVE HEALTH, INC. | , , |
| Massachusetts Corporation | PROACTIVE HEALTH, INC. | 486 EASTERN AVE. , LYNN, MA 01902 |
| Street Address |
1635 N IRONWOOD DR |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46635-1891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285734780 | Todd J Posar | Chiropractor | 1635 N Ironwood Dr, South Bend, IN 46635-1891 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295078228 | Michael Pfeiffer | Otolaryngology | 6301 University Commons Ste 360, South Bend, IN 46635 | 2013-03-27 |
| 1679833438 | Whitney Moore | Physical Therapy Assistant | 2012 Ironwood Circle, Suite 230, Circle Centre Building, South Bend, IN 46635 | 2012-05-25 |
| 1992917637 | Elly May Wynia | Social Worker | 53700 Generations Drive, Suite 200, South Bend, IN 46635 | 2007-05-04 |
| 1891917282 | Lifetime Dental Careof Indiana, PC | Dentist | 1605 North Ironwood, South Bend, IN 46635 | 2007-05-03 |
| 1750502878 | Tyrone Arteese Armstead | Pharmacist | 3355 Douglas Rd, South Bend, IN 46635 | 2007-05-02 |
| 1013033794 | Bradley Richard Swanson | Dentist | 54505 26th Street, Unit E, South Bend, IN 46635 | 2007-03-22 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1346300365 | Chad Fulton Harrington | Dentist | 3340 Douglas Rd., South Bend, IN 46635 | 2006-12-11 |
| 1346313236 | Dr Shawn R Long Dds PC | Dentist | 16329 State Rd 23, South Bend, IN 46635 | 2006-11-16 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| Find all providers in zip 46635 | ||||
| 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 |
|---|---|---|---|---|
| 1710237698 | Michael Ryan Husband | Chiropractor | 60930 Us 31 S, South Bend, IN 46614-5148 | 2012-09-18 |
| 1770854119 | Andrew Goul | Chiropractor | 908 E Ireland Rd, South Bend, IN 46614-2664 | 2012-01-17 |
| 1568645323 | Kaurich Chiropractic, PC | Chiropractor | 3511 Lincolnway W, South Bend, IN 46628-1411 | 2007-12-14 |
| 1033267141 | Philip Reilly Hunt | Chiropractor | 2015 W Western Ave, Suite 240, South Bend, IN 46619-3544 | 2007-01-08 |
| 1649339102 | Robert Robin Schiffman | Chiropractor | 2105 Miami St, South Bend, IN 46613-2936 | 2006-12-08 |
| 1992888762 | James D Husband | Chiropractor | 219 E Ireland Rd, South Bend, IN 46614-2653 | 2006-10-23 |
| 1285734780 | Todd J Posar | Chiropractor | 1635 N Ironwood Dr, South Bend, IN 46635-1891 | 2006-09-24 |
| 1295768695 | Kevin W Kaurich | Chiropractor | 21421 Cleveland Rd, South Bend, IN 46628-3507 | 2006-07-09 |
| 1972557361 | Alan Scott Leichter | Chiropractor | 1622 Mishawaka Ave, South Bend, IN 46615-1427 | 2006-05-20 |
| 1912905712 | Lisa Ann Meyers | Chiropractor | 3027 Mishawaka Avenue, South Bend, IN 46615-2347 | 2005-07-14 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46635 |
Please comment or provide details below to improve the information on PROACTIVE HEALTH, INC.
| 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.