Keith Alan Cloe, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008422 Issued in IL

Practice address

330 Broadway St
Mount Vernon, IL 62864-5116

Phone

(618) 241-9211

Fax

(618) 241-9212

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1275658908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628645116",
            "telephone_number": "618-241-9211",
            "fax_number": "618-241-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROADWAY ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628645116",
            "telephone_number": "618-241-9211",
            "fax_number": "618-241-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOE",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4122210",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038008422",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven J Clark, MD
• Jamie Lynn Clarke, MSW
• Jill Clarke, PHARM. D.
• Koletta Rae Clarke, COTA
• Clarkson Optometry Illinois PC
• Paula Clouse, LCPC, LPC
• Ashlie Cole, RD, LDN
• Jamie Renee Cole, M.S., SLP-CCC
• Andre A Coleman, OTR/L
• Michelle Collier

• Chiropractor in Mount Vernon, IL
• Providers in Mount Vernon, 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, 2010; 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.

Verify at the official NPI Registry.