Active NPI
Jeffrey Lewis Schaub, DC
- Chiropractor
- Washington, IN
National Provider Identifier
1063470383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08000792A
- Practice address
- 300 NE 4TH St
Washington, IN 47501 - Phone
- (812) 254-7003
- Fax
- (812) 254-9361
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08000792A | IN | Primary |
Addresses
Primary practice location
300 NE 4TH St
Washington, IN 47501
Mailing address
300 NE 4TH St
Washington, IN 47501
Phone (812) 254-7003
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 645942 | Other | UNITED HEALTHCARE | |
| 100089350 | Medicaid | IN | |
| P00046301 | Other | PALMETTO GBA | |
| 000000085020 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1063470383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 NE 4TH ST",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "47501",
"telephone_number": "812-254-7003",
"fax_number": "812-254-9361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 NE 4TH ST",
"city": "WASHINGTON",
"state": "IN",
"postal_code": "47501",
"telephone_number": "812-254-7003",
"fax_number": "812-254-9361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAUB",
"first_name": "JEFFREY",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08000792A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "645942",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100089350",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "P00046301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000085020",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.