Mark D Paunicka, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038003818 Issued in IL

Practice address

405 N Broadway Ave
Urbana, IL 61801-2746

Phone

(217) 367-3333

Fax

(217) 367-3190

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

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

Palmer College Chiropractic - Davenport, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practitioners 1

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.

• Elizabeth Paunicka, D.C.

  • Chiropractor
  • Urbana, IL
  • NPI 1841561842
  Medicare reassignment

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1639234404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N BROADWAY AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012746",
            "telephone_number": "217-367-3333",
            "fax_number": "217-367-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N BROADWAY AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012746",
            "telephone_number": "217-367-3333",
            "fax_number": "217-367-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUNICKA",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038003818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038003818",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Satnam Paul, MD
• Satvik Paul
• Tiffany L Paul, NP
• Vishesh Paul, M.D.
• Elizabeth Paunicka, D.C.
• Mary Payne
• Jennifer Pearman, PA
• Peggy D Pearson, MD
• Richard Pearson, MD
• Ryan Peddy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.