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

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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

• Northwest Pain Management PLLC

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

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

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

• Abingdon Cusd 217
• Abingdon-Avon Cusd 276
• Sandra Marie Boggs, RT (R)(CT)
• St Mary Medical Center (OSF Healthcare - Medical Group - Abingdon)
• St. Mary Medical Center (OSF Healthcare - Medical Group (Non-RHC Billing))
• Unlimited Development, Inc (UDI 6 Care Center of Abingdon)

• Chiropractor in Abingdon, IL
• Providers in Abingdon, IL by specialty
• 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.