Active NPI
Martie Jo Blue, DC
- Chiropractor
- Marion, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 249412
- Practice address
- 302 S Market St Ste B
Marion, IL 62959-2532 - Phone
- (618) 964-6976
- Fax
- (888) 793-3309
- NPI assigned
- May 26, 2006
- Last updated
- Aug 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0000001576 | TN | |
| Chiropractor | 111N00000X | 249412 | KY | Primary |
Addresses
Primary practice location
302 S Market St Ste B
Marion, IL 62959-2532
Mailing address
302 S Market St Ste B
Marion, IL 62959-2532
Phone (618) 964-6976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1007 /2 W Main St
Marion, IL 62959-1841
Phone (618) 964-6976
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0000001576 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Health of Southern Illinois | Chiropractor | Current | Accepting new patients |
| Integrated Health of Southern Illinois, LTD. | Chiropractor | Current | Accepting new patients |
| Brown Chiropractic | Chiropractor | Past | Accepting new patients |
| Spine Center Inc | Chiropractor | Past | Accepting new patients |
| Advanced Chiropractic Associates, PLLC | Chiropractor | Past | Accepting new patients |
| East Tennessee Neuropathy, PC | Past | Accepting new patients |
Locations
310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719
303 S Commercial St
Ste 10
Harrisburg, IL 62946
Phone (618) 252-5555
Interoperability endpoints
- https://api.platform.athenahealth.com/26231/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Sports Medicine (Family Medicine) Physician
- Harrisburg, IL
- NPI 1982738274
Chiropractor
-
- Family Medicine Physician
- Carterville, IL
- NPI 1790235497
Chiropractor
-
- Chiropractor
- Knoxville, TN
- NPI 1598014540
-
- Chiropractor
- Knoxville, TN
- NPI 1023056645
-
- Family Medicine Physician
- Johnson City, TN
- NPI 1649511965
-
- Chiropractor
- Louisville, KY
- NPI 1053531665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629331200000",
"number": "1245286574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 S MARKET ST STE B",
"city": "MARION",
"state": "IL",
"postal_code": "629592532",
"telephone_number": "618-964-6976",
"fax_number": "888-793-3309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S MARKET ST STE B",
"city": "MARION",
"state": "IL",
"postal_code": "629592532",
"telephone_number": "618-964-6976",
"fax_number": "888-793-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUE",
"first_name": "MARTIE",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2021-08-19",
"certification_date": "2021-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "DC0000001576",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "249412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.