Gary R. Atchison, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

38003789 Issued in IL

Legal business name

GARY R. ATCHISON, DC

Practice address

2204 Broadway St
Mount Vernon, IL 62864-2915

Phone

(618) 244-3958

Fax

(618) 244-4476

NPI assigned

Jun 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gary Ray Atchison, D.C.NPI 1861559494

Title

Owner

Phone

(618) 244-3958

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Atchison, DC

  • Chiropractor
  • Mount Vernon, IL
  • NPI 1861559494
  NPD (past) Authorized official

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1144489246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642915",
            "telephone_number": "618-244-3958",
            "fax_number": "618-244-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642915",
            "telephone_number": "618-244-3958",
            "fax_number": "618-244-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY R. ATCHISON, DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "ATCHISON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-244-3958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "IL",
            "license": "38003789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Garbo, MHP
• Kloe Garcia, LPN
• Gene R Gardner, CRNA
• Terri S Garrett, PT
• Amanda R Garrison, LCPC
• B J Gee, RRT
• Carla Geha I
• Macey Gettinger
• Jennifer Jo Gidley, MPT
• Heather Renee Gilbert, MA, QMHP

• Sports Physician Chiropractor in Mount Vernon, IL
• Providers in Mount Vernon, 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 Jun 3, 2008; 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.