Active NPI
Jane Ann Hormuth, D.C.
- Chiropractor
- Evansville, IN
National Provider Identifier
1568529311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001611
- Practice address
- 1111 S Green River Rd
Suite 104
Evansville, IN 47715-6811 - Phone
- (812) 474-0704
- Fax
- (812) 474-0704
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001611 | IN | Primary |
Addresses
Primary practice location
1111 S Green River Rd
Suite 104
Evansville, IN 47715-6811
Mailing address
1111 S Green River Rd
Ste 104
Evansville, IN 47715-6811
Phone (812) 474-0704
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200-071650A | Medicaid | IN | |
| 637-180 | Other | IN | MEDICARE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001611 | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1568529311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 S GREEN RIVER RD",
"address_2": "STE 104",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477156811",
"telephone_number": "812-474-0704",
"fax_number": "812-909-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S GREEN RIVER RD",
"address_2": "SUITE 104",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477156811",
"telephone_number": "812-474-0704",
"fax_number": "812-474-0704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORMUTH",
"first_name": "JANE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200-071650A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "637-180",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
- Horizons Community Care Inc
- Horizons Home Care Inc.
- Horizons Transport Services Inc
- Hormuth Chiropractic LLC
- David Andrew Hormuth, M.D.
- Andrew Thomas Hornback, DMD
- Hospice Preferred Choice, Inc. (AseraCare Hospice)
- Hospice Preferred Choice, Inc. (AseraCare Palliative Care - Evansville)
- Houchens Norrth Foods LLC
- Kendra L Houchins, RDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.