Back to Health Chiropractic - Portage PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BACK TO HEALTH CHIROPRACTIC - PORTAGE PC

Practice address

1930 W Milham Ave
Suite D
Portage, MI 49024-2228

Phone

(269) 345-2273

Fax

(269) 345-2090

NPI assigned

Mar 21, 2008

Last updated

Jun 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna Scheuneman, DC

Title

Authorized Official

Phone

(269) 345-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Portage Family Chriopractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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.

• Lauren Meisel

  • Chiropractor
  • Portage, MI
  • NPI 1598587313
  Medicare reassignment Care Compare group NPD
• Anna Schueneman, D.C.

  • Chiropractor
  • Zeeland, MI
  • NPI 1881082444
  Medicare reassignment Care Compare group
• Taylor Ann Taraski, DC

  • Chiropractor
  • Zeeland, MI
  • NPI 1790436962
  Medicare reassignment NPD
• Tonya Ann Westerbeke, DC

  • Chiropractor
  • Zeeland, MI
  • NPI 1881635746
  Medicare reassignment NPD

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1851562409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 W MILHAM AVE",
            "address_2": "SUITE D",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242228",
            "telephone_number": "269-345-2273",
            "fax_number": "269-345-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 W MILHAM AVE",
            "address_2": "SUITE D",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242228",
            "telephone_number": "269-345-2273",
            "fax_number": "269-345-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO HEALTH CHIROPRACTIC - PORTAGE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "SCHEUNEMAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "269-345-2273",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4344547",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portage Family Chriopractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jaouad Aziam
• Mosab Aziz, OT
• Shahid Aziz, DO
• B and C Rehab Services LLC
• B Well Services
• Sayuz Bade Shrestha
• Brent J Baese, AGNP-C
• Catherine Victoria Baeza
• Mary Jean Baggerman, MA
• Rachel Bailey, NP-C

• Chiropractor in Portage, MI
• Providers in Portage, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.