PA Mandich & Associates P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08000721A Issued in IN

Legal business name

PA MANDICH & ASSOCIATES P C

Practice address

2617 45TH St
Highland, IN 46322-2902

Phone

(219) 924-4456

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul Andrew Mandich, D.C.NPI 1285659672

Title

Chiropractor

Phone

(219) 924-4456

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

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

• Paul A Mandich, D.C.

  • Chiropractor
  • Highland, IN
  • NPI 1285659672
  Medicare reassignment NPD Authorized official
• Gene M Neyhart, M.D.

  • Chiropractor
  • Elkhart, IN
  • NPI 1437255064
  NPD (past)
• John L Procopio, D.C.

  • Chiropractor
  • Highland, IN
  • NPI 1013914860
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1205960515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222902",
            "telephone_number": "219-924-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222902",
            "telephone_number": "219-924-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA MANDICH & ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "MANDICH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "219-924-4456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000721A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20001330A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC OF ILLINOIS",
            "identifier": "90000622",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eloise Amy Orr, MHS CF SLP
• Yadira Ortiz
• Otolaryngology Associates of Northwest Indiana LLC
• Saadah Ottman
• Outreach Care Inc
• Trinidad Claudia Padilla, M.S. , SLP-CCC
• Heather Leigh Palmer, LCSW
• Cecilia Palomo
• Liza R. Parikh, MD
• Jennifer Lynn Parkison, NURSE PRACTIONER

• Chiropractor in Highland, IN
• Providers in Highland, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.