MR. JAMES CHARLES SOUKUP JR. (NPI# 1720625155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720625155 |
| Entity Type | Individual |
| Full Name | MR. JAMES CHARLES SOUKUP JR. |
| Credential | LMT |
| Practice Address |
310 4th St Aurora IN 47001-1206 |
| Practice Telephone | 8125608697 |
| Mailing Telephone | 8125608697 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT21204228 | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568701183 | James Patrick Soukup | Occupational Therapist | 1811 Jamestown Rd, Williamsburg, VA 23185-2326 | 2013-02-01 |
| Street Address |
310 4TH ST |
| City | AURORA |
| State | IN |
| Zip Code | 47001-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780792903 | Aleah Pendergraff Gibson | Family Medicine | 204 Bridgeway St, Aurora, IN 47001 | 2006-08-28 |
| 1376563965 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 512 Green Blvd, Aurora, IN 47001 | 2006-07-19 |
| 1609829480 | Advanced Vision Care Center, LLC | Optometrist | 100 Sycamore Estates Dr, Aurora, IN 47001 | 2006-05-19 |
| 1952839961 | Kimberly Myers | Nurse Practitioner | 204 Bridgeway St, Aurora, IN 47001 | 2017-06-03 |
| 1972890481 | Mary Anna Jansen | Family Medicine | 204 Bridgeway St, Aurora, IN 47001 | 2011-07-05 |
| 1518978899 | Aurora Emergency Rescue, Inc. | Ambulance | 320 3rd St, Aurora, IN 47001 | 2006-08-11 |
| 1871969311 | Roberta Hall | Taxi | 136 Franklin St, Aurora, IN 47001-1018 | 2015-08-19 |
| 1598184111 | Debra Ann Dicarlo | Speech-Language Pathologist | 102 Conwell St, Aurora, IN 47001-1110 | 2014-04-10 |
| 1609994326 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 511 W Conwell St, Aurora, IN 47001-1137 | 2007-03-27 |
| 1982723300 | Voca In, LLC | Intermediate Care Facility, Mentally Retarded | 207 Hanover Ave, Aurora, IN 47001-1151 | 2007-03-28 |
| Find all providers in zip 47001 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030845 | Rhonda Kay Newton | Massage Therapist | 22768 Mo-39 Suite B, Aurora, MO 65605 | 2020-10-15 |
| 1366059313 | Allen Wallace | Massage Therapist | 3787 S Fairplay Way, Aurora, CO 80014-4025 | 2020-09-24 |
| 1609482256 | Megan Mccusker | Massage Therapist | 2101 S Blackhawk St Ste 245, Aurora, CO 80014-1492 | 2020-09-18 |
| 1942819917 | Mikhail Lantsov | Massage Therapist | 19724 E Ida Cir, Aurora, CO 80015-5180 | 2020-07-27 |
| 1013539923 | Deborah Leann Inman | Massage Therapist | 22768 State Highway 39 Ste B, Aurora, MO 65605-5283 | 2020-05-13 |
| 1306467360 | Christina Wicklund | Massage Therapist | 1214 Andover Cir, Aurora, IL 60504-5995 | 2020-04-30 |
| 1558915975 | Environmental Health Research Associates LLC | Massage Therapist | 205 W Galena Blvd, Aurora, IL 60506-4025 | 2019-07-25 |
| 1487206058 | Maria Lynn Hannuksela | Massage Therapist | 208 Main St N, Aurora, MN 55705-1346 | 2019-07-12 |
| 1316508641 | Michelle Nichole Ware | Massage Therapist | 15101 E Iliff Ave Ste 250, Aurora, CO 80014-4552 | 2019-06-26 |
| 1679132831 | Monique Roebuck | Massage Therapist | 2411 Georgetown Cir, Aurora, IL 60503-6714 | 2019-06-11 |
| Find all providers in AURORA | ||||
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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.