Paul Evans Dorosheff, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

Practice address

1518 Camp Jackson Rd
Cahokia, IL 62206-2561

Phone

(314) 471-8212

Fax

(618) 337-7109

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Hamilton Holistic Healthcare Services

  • Chiropractor
  • Cahokia, IL
  • NPI 1114465853
  NPD (past)
• Morningstar Chiropractic & Rehabilitation Center LTD

  • Chiropractor
  • Glen Carbon, IL
  • NPI 1467460733
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104863984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26499 WOHLER AVE",
            "city": "GREENVIEW",
            "state": "IL",
            "postal_code": "626429574",
            "telephone_number": "314-471-8212",
            "fax_number": "618-337-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 CAMP JACKSON RD",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622062561",
            "telephone_number": "314-471-8212",
            "fax_number": "618-337-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOROSHEFF",
        "first_name": "PAUL",
        "middle_name": "EVANS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Cruse Jr., PHARM.D.
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• Department of Veterans Affairs St Louis Vamc
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• Nadia Devine, LCSW
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• Laura Drouin
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• Kimberly Gillespie
• Guided Path Support Services

• Sports Physician Chiropractor in Cahokia, IL
• Providers in Cahokia, IL by specialty
• Sports Physician Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.