Graeme Guy Van Matre, D. C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

08001960A Issued in IN

Practice address

421 W Main St
Westfield, IN 46074-9550

Phone

(317) 496-3624

Fax

(317) 867-1877

NPI assigned

Jul 1, 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

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Graeme Van Matre Inc

  dba Graeme Van Matre DC

  • Rehabilitation Clinic/Center
  • Westfield, IN
  • NPI 1447405386

  Sports Physician

  Medicare reassignment NPD Authorized official
• Creekside Chiropractic

  • Chiropractor
  • Sheridan, IN
  • NPI 1881820769
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1821027087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460740732",
            "telephone_number": "317-496-3624",
            "fax_number": "317-867-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W MAIN ST",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749550",
            "telephone_number": "317-496-3624",
            "fax_number": "317-867-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN MATRE",
        "first_name": "GRAEME",
        "middle_name": "GUY",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "IN",
            "license": "08001960A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Tyson, PHARMD
• Prem Sundar Ulaganathan
• Emya Marie Upshaw
• Jesse John Vadas, PHARM.D.
• Hiral Vakilwala
• Jessica Vander Espt, LMHC, LCAC
• Danica M Vasilchek, MD
• Joanna Vasudevan, RBT
• Elizabeth Venatta, LMHCA
• Dominic Vershaw

• Sports Physician Chiropractor in Westfield, IN
• Providers in Westfield, IN by specialty
• Sports Physician Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2009; 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.