Jason Ryan Whitacre, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

1200 Locust St
Murphysboro, IL 62966-2121

Phone

(618) 684-3344

Fax

(618) 684-2216

NPI assigned

Jul 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Murphysboro Chiropractic Clinic, PC

  • Chiropractor
  • Murphysboro, IL
  • NPI 1548297872
  Medicare reassignment NPD Authorized official
• Corley Chiropractic and Rehab Clinic LTD

  • Chiropractor
  • Murphysboro, IL
  • NPI 1851539308
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417975533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SUBURBAN DR",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629662938",
            "telephone_number": "618-684-3344",
            "fax_number": "618-684-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LOCUST ST",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629662121",
            "telephone_number": "618-684-3344",
            "fax_number": "618-684-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITACRE",
        "first_name": "JASON",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0003932012",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Warner, CCC-SLP
• Gina Derosa Warren, M.S., BCBA
• Christine Annette Watt, OTR/L
• Andrea Maren Whipple, LCPC
• Bobbie Lynn Whitacre, D.C.
• Andrew S White, D.M.D.
• Ann Marie Willgoose, L.C.P.C.
• Clare T Williams, MD
• Sonya Willis Baquedano, LCSW
• Courtney Wills

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.