Southwest Chiromed Buckeye LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SOUTHWEST CHIROMED BUCKEYE LLC

Practice address

305 N 4TH St
Buckeye, AZ 85326-2405

Phone

(623) 393-8767

NPI assigned

Oct 2, 2023

Last updated

Dec 27, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Ketchum, DCNPI 1467458067

Title

Owner

Phone

(702) 292-2225

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David C Ketchum, D.C.

  • Sports Physician Chiropractor
  • Las Vegas, NV
  • NPI 1467458067

  AZ

  Medicare reassignment Care Compare group NPD Authorized official
• Patrick Xavier Bell, D.C.

  • Chiropractor
  • Glendale, AZ
  • NPI 1316491939
  Medicare reassignment Care Compare group NPD
• Daniel Bishop, M.D.

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1669522587
  Medicare reassignment Care Compare group NPD
• David Frank Rusick, D.C.

  • Chiropractor
  • Goodyear, AZ
  • NPI 1467529156
  Medicare reassignment NPD
• Alan Scott Frandsen, D.C.

  • Chiropractor
  • Phoenix, AZ
  • NPI 1275986176
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1063292563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 4TH ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853262405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N 4TH ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853262405",
            "telephone_number": "623-393-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CHIROMED BUCKEYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "KETCHUM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-292-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myka Soucy
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• Paul Sousa, M.D.
• Southwest Behavioral Health
• Southwest Behavioral Health Service
• Speak Out Loud LLC
• SPG PM2 Services
• Spooner Physical Therapy & Hand Rehab PC (Spooner Buckeye)
• Sprout and Bloom Therapy, LLC
• Ashley Staley, PHARMD

• Multi-Specialty Clinic/Center in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Multi-Specialty Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.