Newburgh Chiropractic PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08002011A Issued in IN

Legal business name

NEWBURGH CHIROPRACTIC PSC

Practice address

8211 W State Route 66
Newburgh, IN 47630-2534

Phone

(812) 858-1008

Fax

(812) 858-1001

NPI assigned

May 24, 2007

Last updated

Jul 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shaun P Tymchak, D.C.NPI 1346243870

Title

Director

Phone

(812) 858-1008

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaun P Tymchak, D.C.

  • Chiropractor
  • Newburgh, IN
  • NPI 1346243870
  Authorized official Same address or phone
• Pauline Wong, PT

  • Physical Therapist
  • Newburgh, IN
  • NPI 1427174242
  NPD (past)
• Andrew David Yates, DC

  • Chiropractor
  • Owensboro, KY
  • NPI 1477543270
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1447461132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 W STATE ROUTE 66",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302534",
            "telephone_number": "812-858-1008",
            "fax_number": "812-858-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 W STATE ROUTE 66",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476302534",
            "telephone_number": "812-858-1008",
            "fax_number": "812-858-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURGH CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "TYMCHAK",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "812-858-1008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002011A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200366440A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000314297",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "116439",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennedy Nettler
• Jennifer J Nevers, MSW, LCSW
• New You Counseling LLC
• Newburgh Anesthesia Associates, LLC
• Newburgh Assisted Living, LLC (Heritage Woods of Newburgh)
• Newburgh Eye Care, P.C.
• Newburgh Family Medicine, PC
• Newburgh Modern Dentistry LLC
• Newburgh Smile Center, LLC
• Newburgh Urgent Care LLC (Mercy Urgent Care)

• Chiropractor in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.