Midwest Healthcare Center SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MIDWEST HEALTHCARE CENTER SC

Practice address

2 N Country Club Rd
Suite 3
Decatur, IL 62521-4161

Phone

(217) 423-1500

Fax

(217) 423-1504

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian D. Penwell, D.C.NPI 1568436624

Title

Owner Director

Phone

(217) 423-1500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

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

• Brian David Penwell, D.C.

  • Chiropractor
  • Decatur, IL
  • NPI 1568436624
  Medicare reassignment Authorized official
• Nancy L Penwell, D.C.

  • Chiropractor
  • Decatur, IL
  • NPI 1952375222
  Medicare reassignment
• Karen Lamb, P.T.

  • Physical Therapist
  • Decatur, IL
  • NPI 1962600551
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1801910062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N COUNTRY CLUB RD",
            "address_2": "SUITE 3",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625214161",
            "telephone_number": "217-423-1500",
            "fax_number": "217-423-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N COUNTRY CLUB RD",
            "address_2": "SUITE 3",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625214161",
            "telephone_number": "217-423-1500",
            "fax_number": "217-423-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEALTHCARE CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "PENWELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "217-423-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katlyn Merris
• Kendra Merris, RBT
• Mid-State Eye Partners Inc
• Midwest Center for Plastic Surgery
• Midwest Eye Associates LLC
• Midwest Internal Medicine SC
• Midwest Neurology Associates, S.C.
• Midwest Neurology Associates, S.C.
• Midwest OBGYN & Infertility Center
• Roxanne L Miller-Sinclair

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.