IHS of Woodbury, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4486 Issued in MN

Legal business name

IHS OF WOODBURY, P.A.

Practice address

1815 Suburban Ave
Saint Paul, MN 55119-4302

Phone

(651) 731-1880

Fax

(651) 739-6029

NPI assigned

Sep 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Anthony Kary, D.CNPI 1780707091

Title

Director/Owner

Phone

(651) 731-1880

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HealthSource St. Paul Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Tax ID family

Healthsource2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• IHS of Woodbury PA

  • Chiropractor
  • Saint Paul, MN
  • NPI 1629477013
  NPD tax ID

Locations

Practitioners 4

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

• Joshua A Kary, DC

  • Chiropractor
  • Lake Elmo, MN
  • NPI 1780707091
  Medicare reassignment NPD Authorized official
• Mark F Lavallie, D.C., D.A.B.C.O.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1477581742
  NPD (past)
• Christopher P Massoglia, D.C.

  • Sports Physician Chiropractor
  • Vadnais Heights, MN
  • NPI 1720015191
  NPD (past)
• Troy Streff Taffe, D.C.

  • Chiropractor
  • Apple Valley, MN
  • NPI 1821260753
  NPD (past)

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1205145273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SUBURBAN AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194302",
            "telephone_number": "651-731-1880",
            "fax_number": "651-739-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SUBURBAN AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551194302",
            "telephone_number": "651-731-1880",
            "fax_number": "651-739-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHS OF WOODBURY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "KARY",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "651-731-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "762240600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "556P8KA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource St. Paul",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ihope Inc
• Jeannie J Ihrig, CRNA
• IHS East Saint Paul
• IHS Grand Avenue PLLP
• IHS of Woodbury PA
• Kristina M Ijomah, RN
• Faiza Sayid Ikar
• Jodi-Rae M Ikens, PHARM D
• Alison Enuma Ikeogu
• Angela Ngozi Ikeri, DNP, FNP-C, CWOCN

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.