Individual provider Active NPI

Mitchel Kent Stukey, D.C.

  • Chiropractor
  • Owensboro, KY
National Provider Identifier
1205990769
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Sep 19, 2019.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4083 Issued in KY
Practice address
3600 Frederica St
Suite a
Owensboro, KY 42301-6981
Phone
(270) 926-1774
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4083 KY Primary

Addresses

Primary practice location

3600 Frederica St
Suite a
Owensboro, KY 42301-6981

Mailing address

3600 Frederica St
Suite a
Owensboro, KY 42301-6981
Phone (270) 926-1774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
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.

Practice roles

OrganizationSpecialtyStatusNew patients
Med 1St of Owensboro Past Accepting new patients
Physicians for Quality Healthcare, Inc. PastSince Sep 21, 2015 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205990769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FREDERICA ST",
            "address_2": "SUITE A",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016981",
            "telephone_number": "270-926-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FREDERICA ST",
            "address_2": "SUITE A",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016981",
            "telephone_number": "270-926-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUKEY",
        "first_name": "MITCHEL",
        "middle_name": "KENT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.