Mark Edward Kalarovich, D.C.
Individual provider Active NPI Chiropractor · Wheatland, IA
NPI 1023223286 · NPPES record last updated Dec 28, 2023
Key facts
- NPI
- 1023223286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- A06180 (IA)
- Practice address
- 110 East Jefferson St
Wheatland, IA 52777-0070 - Phone
- (563) 374-1535
- Fax
- (563) 374-1145
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110326000052 | IA | Practitioner - Chiropractic | 5092700419 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maximum Wellness Center, Inc. | Chiropractor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A06180 | IA | Yes |
Addresses
Primary practice location
110 East Jefferson St
Wheatland, IA 52777-0070
Mailing address
110 East Jefferson St
PO Box 70
Wheatland, IA 52777-0070
Phone (563) 374-1535
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0193052 | Medicaid | IA |
Other providers in Wheatland, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.