Mark Wiegand DC SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038009581 Issued in IL

Legal business name

MARK WIEGAND DC SC

Practice address

926 Broadway St
Suite 4
Quincy, IL 62301-2748

Phone

(217) 222-5100

Fax

(217) 222-5178

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark J Wiegand, DCNPI 1730172636

Title

President-Owner

Phone

(217) 222-5100

Specialties & licenses 1

Addresses

Other names 1

• Family Chiropractic & Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

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.

• Mark J Wiegand, D.C.

  • Chiropractor
  • Quincy, IL
  • NPI 1730172636
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1295822625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 BROADWAY ST",
            "address_2": "SUITE 4",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012748",
            "telephone_number": "217-222-5100",
            "fax_number": "217-222-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 BROADWAY ST",
            "address_2": "SUITE 4",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012748",
            "telephone_number": "217-222-5100",
            "fax_number": "217-222-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK WIEGAND DC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "WIEGAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "217-222-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038009581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Don Manarang, DO
• John Mantinaos, DMD
• Julius Agyeman Manu, MD
• Maps Nutrition Group LLC
• Albert W Marchiando, MD
• Michael Marshall, NP
• Rachel Ruth Marshall, CRNA
• Ashley Jo Martin, MD
• Eric R Martin, PHARM.D.
• Janet Elaine Martin, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.