Individual provider Active NPI

Eric E Gaumer, D.C.

  • Chiropractor
  • Sterling, IL
National Provider Identifier
1538566658
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012732 Issued in IL
Practice address
3512 E Lincolnway Ste a
Sterling, IL 61081-7622
Phone
(815) 632-3675
Fax
(815) 716-8441
NPI assigned
Dec 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012732 IL Primary

Addresses

Primary practice location

3512 E Lincolnway Ste a
Sterling, IL 61081-7622

Mailing address

125 E Main St
Morrison, IL 61270-2639
Phone (815) 772-8069

Other practice location 1

125 E Main St
Morrison, IL 61270-2639
Phone (815) 772-8069

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150303000363 IL Practitioner - Chiropractic 5294051611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 E Main St
Morrison, IL 61270-2639
Phone (815) 772-8069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012732ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gaumer Chiropractic, LLC Chiropractor CurrentSince Dec 15, 2014 Accepting new patients
Mance Chiropractic LTD Chiropractor PastSince Dec 15, 2014 Accepting new patients

Locations

125 E Main St
Morrison, IL 61270
Phone (815) 772-7641

3512 E Lincolnway
Ste A
Sterling, IL 61081
Phone (815) 632-3675

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1538566658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E MAIN ST",
            "city": "MORRISON",
            "state": "IL",
            "postal_code": "612702639",
            "telephone_number": "815-772-8069",
            "fax_number": "815-772-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 E LINCOLNWAY STE A",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610817622",
            "telephone_number": "815-632-3675",
            "fax_number": "815-716-8441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 E Main St",
            "address_purpose": "LOCATION",
            "city": "Morrison",
            "state": "IL",
            "postal_code": "612702639",
            "country_code": "US",
            "telephone_number": "815-772-8069",
            "fax_number": "815-772-8084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAUMER",
        "first_name": "ERIC",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.