DR. JASON RYAN WHITACRE (NPI# 1417975533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417975533 |
| Entity Type | Individual |
| Full Name | DR. JASON RYAN WHITACRE |
| Credential | D.C. |
| Practice Address |
1200 Locust St Murphysboro IL 62966-2121 |
| Mailing Address |
7 Suburban Dr Murphysboro IL 62966-2938 |
| Practice Telephone | 6186843344 |
| Practice Fax Number | 6186842216 |
| Mailing Telephone | 6186843344 |
| Mailing Fax Number | 6186842216 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 0003932012 | 01 |
| Street Address |
1200 LOCUST ST |
| City | MURPHYSBORO |
| State | IL |
| Zip Code | 62966-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114951415 | Bobbie Lynn Whitacre | Chiropractor | 1200 Locust St, Murphysboro, IL 62966-2121 | 2006-07-10 |
| 1548297872 | Murphysboro Chiropractic Clinic, PC | Chiropractor | 1200 Locust St, Murphysboro, IL 62966-2121 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093272999 | Lifenet, Inc. | Ambulance | 430 N Airport Rd, Murphysboro, IL 62966 | 2019-02-27 |
| 1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
| 1295281558 | Alternatives Counseling Inc. | Community/Behavioral Health | 1400 N Wood Road, Murphysboro, IL 62966 | 2016-08-28 |
| 1962855833 | Andrea Maren Whipple | Counselor | 617 Walnut St, Murphysboro, IL 62966 | 2016-07-15 |
| 1730544180 | Lasharon Smith | Non-emergency Medical Transport (VAN) | 37 Nins Lane, Murphysboro, WI 62966 | 2015-12-29 |
| 1710241328 | Kati K Rush | Podiatrist | 19 E Shawnee Dr Ste 3, Murphysboro, IL 62966 | 2012-06-28 |
| 1386709418 | Hoai P Nguyen | Dentist | 1116 Locust Street, Murphysboro, IL 62966 | 2006-12-27 |
| 1154416576 | Hayley Autumn Hood | Occupational Therapist | 6 East Shawnee, Murphysboro, IL 62966 | 2006-10-03 |
| 1356435135 | Southern Illinois Hospital Services | General Acute Care Hospital | 2 South Hospital Drive, Murphysboro, IL 62966 | 2006-10-03 |
| 1699879825 | Stephen Craig Mills | Chiropractor | 1010 N 14th St, Murphysboro, IL 62966 | 2006-09-08 |
| Find all providers in zip 62966 | ||||
| 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 |
|---|---|---|---|---|
| 1760606701 | Kimberly Anne Kalaher | Chiropractor | 217 Lake Forest Dr, Murphysboro, IL 62966-3019 | 2007-04-12 |
| 1699879825 | Stephen Craig Mills | Chiropractor | 1010 N 14th St, Murphysboro, IL 62966 | 2006-09-08 |
| 1457454860 | Health Centers of Southern Illinois Sc. | Chiropractor | 1012 N. 14th St, Murphysboro, IL 62966-1600 | 2006-09-07 |
| 1851539308 | Corley Chiropractic and Rehab Clinic Ltd | Chiropractor | 106 S 14th St, Murphysboro, IL 62966-2515 | 2009-01-21 |
| 1942479563 | John Thomas Corley | Chiropractor | 106 S 14th St, Murphysboro, IL 62966-2515 | 2008-02-28 |
| 1881798015 | Jack Leon Reed | Chiropractor | 1012 N 14th St, Murphysboro, IL 62966 | 2006-09-08 |
| 1871697003 | Robert Leon Mills | Chiropractor | 1012 N 14th St, Murphysboro, IL 62966 | 2006-09-08 |
| 1114951415 | Bobbie Lynn Whitacre | Chiropractor | 1200 Locust St, Murphysboro, IL 62966-2121 | 2006-07-10 |
| 1548297872 | Murphysboro Chiropractic Clinic, PC | Chiropractor | 1200 Locust St, Murphysboro, IL 62966-2121 | 2006-06-26 |
| 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 | ||||
| City | MURPHYSBORO |
| Zip Code | 62966 |
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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.