Galena Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GALENA CHIROPRACTIC CENTER PC

Practice address

400 Broadway St
Galena, IL 61036-1902

Phone

(815) 777-0042

NPI assigned

Oct 31, 2005

Last updated

Oct 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Douglas Newcomer, DCNPI 1932389640

Title

President Owner

Phone

(815) 777-0042

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark D Newcomer, D.C.

  • Chiropractor
  • Galena, IL
  • NPI 1932389640
  Medicare reassignment Authorized official
• Jason M. Green, D.C.

  • Chiropractor
  • Galena, IL
  • NPI 1811275795
  NPD (past)
• Tara Jo Green, D.C.

  • Chiropractor
  • Galena, IL
  • NPI 1720366602
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1275524241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROADWAY ST",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610361902",
            "telephone_number": "815-777-0042",
            "fax_number": "815-777-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BROADWAY ST",
            "city": "GALENA",
            "state": "IL",
            "postal_code": "610361902",
            "telephone_number": "815-777-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALENA CHIROPRACTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "NEWCOMER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "815-777-0042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Ann Foster, REGISTERED NURSE
• Michelle C Frangella Finley
• Joyce D Fusek, PSY.D.
• Gail Lynn Gabbert, D.MIN., LMFT
• Galena Area Emergency Medical Service District
• Galena Clinic, Inc.
• Galena Clinic, Inc.
• Galena Family Dental, P.C.
• Galena River Counseling and Retreats
• Galena Unit SCH Dist 120

• Chiropractor in Galena, IL
• Providers in Galena, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.