Active NPI
Nathan John Doudna, DC
- Chiropractor
- McConnelsville, OH
National Provider Identifier
1144403585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2439
- Practice address
- 290 E Bell Ave
Anderson Chiropractic
McConnelsville, OH 43756 - Phone
- (740) 962-5700
- Fax
- (740) 962-6093
- NPI assigned
- Dec 7, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 2439 | OH | Primary |
Addresses
Primary practice location
290 E Bell Ave
Anderson Chiropractic
McConnelsville, OH 43756
Mailing address
290 E Bell Ave
Anderson Chiropractic
McConnelsville, OH 43756
Phone (740) 962-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2350450 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
290 E Bell Ave
McConnelsville, OH 43756-1340
Phone (740) 962-5700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2439 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peggy J Anderson | Chiropractor | Current | Accepting new patients |
Locations
290 E Bell Ave
McConnelsvle, OH 43756
Phone (740) 962-3362
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": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1144403585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 E BELL AVE",
"address_2": "ANDERSON CHIROPRACTIC",
"city": "MCCONNELSVILLE",
"state": "OH",
"postal_code": "43756",
"telephone_number": "740-962-5700",
"fax_number": "740-962-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 E BELL AVE",
"address_2": "ANDERSON CHIROPRACTIC",
"city": "MCCONNELSVILLE",
"state": "OH",
"postal_code": "43756",
"telephone_number": "740-962-5700",
"fax_number": "740-962-6093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUDNA",
"first_name": "NATHAN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-07",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2350450",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in McConnelsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.