MISKELLY CHIROPRACTIC CENTER P C (NPI# 1730359308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730359308 |
| Entity Type | Organization |
| Organization Name | MISKELLY CHIROPRACTIC CENTER P C |
| Practice Address |
2811 Lower Huntington Rd Fort Wayne IN 46809-2616 |
| Practice Telephone | 2607471596 |
| Practice Fax Number | 2607471597 |
| Mailing Telephone | 2607471596 |
| Mailing Fax Number | 2607471597 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |
| Authorized Official Name | DR. WILLIAM J MISKELLY (PRESIDENT) |
| Authorized Official Telephone | 2607471596 |
| Authorized Official Credential | D. C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
08000497A | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE | 048870 | 01 |
| IN | BC/BS | 000000175462 | 01 |
| Street Address |
2811 LOWER HUNTINGTON RD |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46809-2616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679542260 | William J Miskelly | Chiropractor | 2811 Lower Huntington Rd, Fort Wayne, IN 46809-2616 | 2006-03-16 |
| 1447208350 | Scott B. Eckelbarger | Chiropractor | 2811 Lower Huntington Rd, Fort Wayne, IN 46809-2616 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497038574 | Zachary L Roberts | Pharmacist | 12279 Bluffton Road, Fort Wayne, IN 46809 | 2011-09-24 |
| 1679660278 | Kool Smiles In Ft. Wayne, PC | Dentist | 1852 Bluffton Road, Ft. Wayne, IN 46809 | 2006-10-06 |
| 1477512564 | Brian Thomas Raypole | Specialist/Technologist | 5050 N. Clinton Street, Fort Wayne, IN 46809 | 2006-03-20 |
| 1669016895 | Trinity Health Pharmacy Services, LLC | Pharmacy | 12279 Bluffton Road, Fort Wayne, IN 46809 | 2019-10-31 |
| 1871049981 | Mark Sexton | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2016-08-29 |
| 1841573318 | Vicki Eileen Caccamo | Pharmacist | 6730 Bluffton Rd, Fort Wayne, IN 46809 | 2011-09-21 |
| 1104988112 | Karena Diane Schroeder | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2006-12-15 |
| 1013084946 | David L Kuhn | Physical Therapist | 3534 Brooklyn Ave, Fort Wayne, IN 46809 | 2006-11-29 |
| 1265588404 | May R. Dahman | Specialist | 1733 Kinsmoor Ave, Fort Wayne, IN 46809-1025 | 2007-01-27 |
| 1134746209 | Laurel Schroeder | Occupational Therapist | 1726 Bluffton Rd, Fort Wayne, IN 46809-1305 | 2020-07-06 |
| Find all providers in zip 46809 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1174861454 | Indiana Plastic Surgery Center, PC | Clinic/Center | 10020 Dupont Circle Ct, Suite 100, Fort Wayne, IN 46825-1620 | 2013-01-22 |
| 1447587696 | Indiana Endocrine Specialist, LLC | Clinic/Center | 3030 Lake Ave, Suite 17, Fort Wayne, IN 46805-5428 | 2009-11-09 |
| 1811941024 | Northeast Obstetrics & Gynecology, LLC | Clinic/Center | 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845-1707 | 2006-05-20 |
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| 1275001489 | Decatur County Memorial Hospital | Clinic/Center | 955 N Michigan Ave Ste 2, Greensburg, IN 47240-1487 | 2018-11-06 |
| 1285164509 | Better Quality of Life Care Md, PC | Clinic/Center | 8334 Beech Ave, Munster, IN 46321-1440 | 2017-06-19 |
| 1639622236 | Fordem Health, LLC | Clinic/Center | 1313 Park Dr, Munster, IN 46321-2634 | 2016-07-31 |
| 1447619747 | Sanford Dermatology | Clinic/Center | 400 W Green Meadows Dr Ste 110, Greenfield, IN 46140-3205 | 2016-02-15 |
| 1306222757 | Midwest Wellness LLC | Clinic/Center | 6822 E 82nd St Ste 310, Indianapolis, IN 46250-1677 | 2015-08-08 |
| 1861757023 | Integrative Therapeutics LLC | Clinic/Center | 11074 Woods Bay Ln, Indianapolis, IN 46236-9020 | 2012-07-12 |
| 1093953234 | Wabash Valley Infectious Diseases Clinic LLC | Clinic/Center | 2112 S 3rd St, Terre Haute, IN 47802-3045 | 2009-01-27 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46809 |
Please comment or provide details below to improve the information on MISKELLY CHIROPRACTIC CENTER P C.
| 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.