ACTIVE HEALTH AND WELLNESS CENTER (NPI# 1427179787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427179787 |
| Entity Type | Organization |
| Organization Name | ACTIVE HEALTH AND WELLNESS CENTER |
| Practice Address |
3027 Mishawaka Ave South Bend IN 46615-2347 |
| Practice Telephone | 5742599355 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2010-03-31 |
| Authorized Official Name | DR. LISA MEYERS (MANAGING PHYSICIAN) |
| Authorized Official Telephone | 5742599355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0800X |
Chiropractor Specialization: Orthopedic |
51000262A | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200253400 | 05 |
| Street Address |
3027 MISHAWAKA AVE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487652277 | Patrick William Case | Chiropractor | 3027 Mishawaka Ave, South Bend, IN 46615-2347 | 2005-07-14 |
| 1295110989 | Yensid Jr LLC | Chiropractor | 3027 Mishawaka Ave, South Bend, IN 46615-2347 | 2015-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| Find all providers in zip 46615 | ||||
| Taxonomy Code | 111NX0800X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Orthopedic |
| Chiropractic Orthopedics is defined as that branch of chiropractic medicine that includes the continued acquisition of knowledge relative to both normal functions and diseases of the human body as they relate to the bones, joints, capsules, discs, muscles, ligaments, tendons, their complete neurological and vascular components, referred organ systems and contiguous tissues. This also includes the development and perfection of skills relative to health maintenance when such exists and when not, the investigations, historical review, physical detection, correlative diagnosis development and complete management of any disorder within the bounds defined herein. Also necessary is the delivery of the combined knowledge and skill on a primary basis to patients who both need and desire this service to the eventual outcome of remissions, whenever resolution is not readily achievable. In addition the certified chiropractic orthopedist provides consultation services at the request of other qualified doctors seeking assistance in the care of their patients. The chiropractic orthopedist may also engage in the teaching and or research of subjects and materials relevant to pursuing the quest for knowledge in the ever changing field of the orthopedic specialty. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487652277 | Patrick William Case | Chiropractor | 3027 Mishawaka Ave, South Bend, IN 46615-2347 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558696716 | Healistic, LLC | Chiropractor | 2122 E 350 S, Lafayette, IN 47909-9339 | 2009-10-06 |
| 1063686657 | American Physical Medicine and Reabilitation, PC | Chiropractor | 6612 E. 75th Street, Suite 110, Indianapolis, IN 46250 | 2008-04-15 |
| 1861511990 | Brian A Darrow | Chiropractor | 1645 N Lebanon St, Lebanon, IN 46052-1515 | 2007-03-28 |
| 1326129974 | Shawn R. Benzinger | Chiropractor | 7207 N Shadeland Ave Ste B, Indianapolis, IN 46250-2881 | 2006-10-18 |
| 1518987866 | Trevor Charles Miller | Chiropractor | 209 S State St, North Vernon, IN 47265-1818 | 2006-07-20 |
| 1497782932 | Raymond Scott Nanko | Chiropractor | 919 W Jackson St, Muncie, IN 47305-1554 | 2006-06-28 |
| 1194764332 | Tyler Wayne Chalfant | Chiropractor | 421 Smith Dr, Auburn, IN 46706-3655 | 2006-06-05 |
| 1366494031 | Victor K Fitch | Chiropractor | 3010 E State Blvd, Fort Wayne, IN 46805-4700 | 2006-05-17 |
| 1619941507 | Scott A Molin | Chiropractor | 2206 Lafayette Rd, Crawfordsville, IN 47933-1043 | 2006-02-15 |
| 1881697795 | Mark R. Winteregg | Chiropractor | 10315 Dawsons Creek Blvd, Ste I, Fort Wayne, IN 46825-1912 | 2005-05-24 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
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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.