Individual provider Active NPI

Eric Wilson McTureous, D.C.

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1083611404
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8455 Issued in FL
Practice address
5709 SW 75TH St
Gainesville, FL 32608-5504
Phone
(352) 364-8780
Fax
(352) 336-5325
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8455 FL Primary

Addresses

Primary practice location

5709 SW 75TH St
Gainesville, FL 32608-5504

Mailing address

5709 SW 75TH St
Gainesville, FL 32608-5504
Phone (352) 364-8780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050408000162 FL Practitioner - Chiropractic 2062469877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1459 SW 74TH Dr
Gainesville, FL 32607-0002
Phone (352) 264-8780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McTureous Chiropractic Inc Chiropractor CurrentSince Aug 7, 2004 Accepting new patients

Locations

1459 SW 74th Dr
Gainesville, FL 32607
Phone (352) 264-8780

5709 SW 75th St
Gainesville, FL 32608
Phone (352) 264-8780

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1083611404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 SW 75TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085504",
            "telephone_number": "352-364-8780",
            "fax_number": "352-336-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 SW 75TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085504",
            "telephone_number": "352-364-8780",
            "fax_number": "352-336-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTUREOUS",
        "first_name": "ERIC",
        "middle_name": "WILSON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.