Jeffry James Ensign, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

813 N Monroe St
Abingdon, IL 61410-1060

Phone

(309) 462-2622

Fax

(309) 462-2622

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

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.

• Northwest Pain Management PLLC

  • Pain Clinic/Center
  • Tucson, AZ
  • NPI 1154694552
  NPD (past)
• Westerman P R Inc

  • Chiropractor
  • Tucson, AZ
  • NPI 1003068446
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164565511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 N MONROE ST",
            "city": "ABINGDON",
            "state": "IL",
            "postal_code": "614101060",
            "telephone_number": "309-462-2622",
            "fax_number": "309-462-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 N MONROE ST",
            "city": "ABINGDON",
            "state": "IL",
            "postal_code": "614101060",
            "telephone_number": "309-462-2622",
            "fax_number": "309-462-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSIGN",
        "first_name": "JEFFRY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04823420",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abingdon Cusd 217
• Abingdon-Avon Cusd 276
• Sandra Marie Boggs, RT (R)(CT)
• St Mary Medical Center
• St. Mary Medical Center
• Unlimited Development, Inc

• All providers in Abingdon, IL
• 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.