Amanda Jo McCoy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08003133A Issued in IN

Practice address

565 N Walnut St
Bloomington, IN 47404-3896

Phone

(812) 336-2423

Fax

(812) 331-2792

NPI assigned

May 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Amanda Jo Kellerman Former name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Drummond Chiropractic LLCGroup PAC ID 8820260474, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Drummond Chiropractic LLC

  • Chiropractor
  • Bloomington, IN
  • NPI 1255455424
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1538659776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 N WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043896",
            "telephone_number": "812-336-2423",
            "fax_number": "812-331-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 N WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043896",
            "telephone_number": "812-336-2423",
            "fax_number": "812-331-2792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450401342",
            "country_code": "US",
            "telephone_number": "513-754-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-04818",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003133A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KELLERMAN",
            "middle_name": "JO",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel R McCormack, D.O.
• Emma L McCormack, D.O.
• Bryan P McCormick, PH.D.
• Kiernan McCormick
• Ursula Sue McCormick, CNS
• Langli McCoy, RBT
• Mary Elizabeth McCrate, MD
• Elizabeth S McCrea, PH.D.
• Elise Anne McCuiston, PHARMD
• Jason McCulley, H.I.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.