McCracken County Chiropractic PSC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4624 Issued in KY

Legal business name

MCCRACKEN COUNTY CHIROPRACTIC PSC

Practice address

2731 Jackson St
Paducah, KY 42003-3855

Phone

(270) 444-7111

Fax

(270) 444-7122

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark E Atnip, D.C.NPI 1093988016

Title

C.E.O.

Phone

(270) 444-7111

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Tax ID family

McCracken County Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• McCracken County Chiropractic

  • Chiropractor
  • Paducah, KY
  • NPI 1225038839
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark E Atnip, D.C.

  • Chiropractor
  • Paducah, KY
  • NPI 1093988016
  Medicare reassignment NPD Authorized official
• Travis Wade Kahre, DC

  • Chiropractor
  • Paducah, KY
  • NPI 1700960317
  NPD (past)
• Calvin Shanks, D.C.

  • Chiropractor
  • Paducah, KY
  • NPI 1811160864
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1669526885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 JACKSON ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033855",
            "telephone_number": "270-444-7111",
            "fax_number": "270-444-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 JACKSON ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033855",
            "telephone_number": "270-444-7111",
            "fax_number": "270-444-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCRACKEN COUNTY CHIROPRACTIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "ATNIP",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "270-444-7111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "K041871",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85900371",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP RAILRAOD MEDICARE",
            "identifier": "DB0778",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camryn McClure, AU.D.
• Rick J McCombs, MD
• Emelia A McConnell, OT
• McCracken County Board of Education
• McCracken County Chiropractic
• McCracken County Hands
• McCracken County Public Schools
• John E McCracken, M.D.
• Allison Ann McCuan, M.A.
• Austin McCuiston, M.D.

• Chiropractor in Paducah, KY
• Providers in Paducah, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.