Elite Health Care of Jay County Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01027232A Issued in IN

Legal business name

ELITE HEALTH CARE OF JAY COUNTY INC

Practice address

126 S Main St
Dunkirk, IN 47336-1250

Phone

(765) 281-8883

NPI assigned

Jun 25, 2015

Organization subpart

No

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

Authorized official

Name

David R Segraves, DC

Title

Owner/Doctor

Phone

(765) 281-8883

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1770965774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST",
            "city": "DUNKIRK",
            "state": "IN",
            "postal_code": "473361250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST",
            "city": "DUNKIRK",
            "state": "IN",
            "postal_code": "473361250",
            "telephone_number": "765-281-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTH CARE OF JAY COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "SEGRAVES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "765-281-8883",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01027232A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kuhl Bilbrey, RPH
• Pierce Anthony Clott
• Christa Amanda Coppock
• Amy Daniels
• Dinesh M Doshi, M.D.
• Krysten Daye Gentis
• Hook-Superx LLC
• Jay County Hospital
• Johnson Memorial Hospital
• Jacob Wade Ludwick, D.D.S.

• Family Medicine Physician in Dunkirk, IN
• Providers in Dunkirk, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.

Verify at the official NPI Registry.