Organization Active NPI

His Way Inc.

  • Chiropractor
  • Bardstown, KY
National Provider Identifier
1396916342
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4592 Issued in KY
Legal business name
HIS WAY INC.
Practice address
200 E John Rowan Blvd Ste B
Bardstown, KY 40004-2716
Phone
(502) 331-0900
Fax
(502) 331-0937
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Dr. Phillip Bradley Yuhas, DCNPI 1770633307
Title
Owner/Operator
Phone
(502) 331-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4592 KY Primary

Addresses

Primary practice location

200 E John Rowan Blvd Ste B
Bardstown, KY 40004-2716

Mailing address

200 E John Rowan Blvd Ste B
Bardstown, KY 40004-2716
Phone (502) 331-0900

Other practice location 1

1000 E John Rowan Blvd
Suite 106
Bardstown, KY 40004-2060
Phone (502) 331-0900

Other names 1

  • Back In Shape Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050426000941 KY Part B Supplier - Clinic/Group Practice 9830138288 Receives reassigned benefits from 1 practitioner
Practice locations: Bardstown, KY

National Provider Directory

National Provider Directory

Locations

1000 E John Rowan Blvd
Ste 106
Bardstown, KY 40004
Phone (502) 331-0900

200 E John Rowan Blvd
Ste B
Bardstown, KY 40004
Phone (502) 331-0900

101 Manor Ave
Ste 104
Bardstown, KY 40004
Phone (502) 331-9433

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1396916342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E JOHN ROWAN BLVD STE B",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042716",
            "telephone_number": "502-331-0900",
            "fax_number": "502-331-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E JOHN ROWAN BLVD STE B",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042716",
            "telephone_number": "502-331-0900",
            "fax_number": "502-331-0937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E John Rowan Blvd",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Bardstown",
            "state": "KY",
            "postal_code": "400042060",
            "country_code": "US",
            "telephone_number": "502-331-0900",
            "fax_number": "502-331-0937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HIS WAY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "YUHAS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "502-331-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back In Shape Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.