Wellness Family Chiropractic, PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WELLNESS FAMILY CHIROPRACTIC, PSC

Practice address

2720 N Main St
Madisonville, KY 42431-9470

Phone

(270) 825-3995

NPI assigned

Sep 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Thomas Stachurski V, D.C.NPI 1255469987

Title

Owner

Phone

(270) 825-3995

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• John Thomas Stachurski V, D.C.

  • Chiropractor
  • Madisonville, KY
  • NPI 1255469987
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191110400000",
    "number": "1275720690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319470",
            "telephone_number": "270-825-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319470",
            "telephone_number": "270-825-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FAMILY CHIROPRACTIC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-30",
        "last_updated": "2007-09-30",
        "status": "A",
        "authorized_official_last_name": "STACHURSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-825-3995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "V",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE3553",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1229422",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000380972",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karianne Washer, NP
• James Bradley Watson
• Elizabeth Bourne Webb, LCSW, LMFT
• Harriet Suzanne Weir, PHARMD
• Misty Adina Weldon, BCBA
• Wells Health Systems, Inc.
• West Kentucky Dermatology, PSC
• Kayla Marie Wester, MSN, FNP
• Western Kentucky Technical Imaging, Inc
• Christopher K Whetstine

• Chiropractor in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.