Individual provider Active NPI

Erika Leigh Maroon, DC

  • Chiropractor
  • Michigan City, IN
National Provider Identifier
1861905499
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003003A Issued in IN
Practice address
8690 West Pahs Rd.
Michigan City, IN 46360
Phone
(219) 872-5151
NPI assigned
Nov 6, 2017
Last updated
Nov 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003003A IN Primary

Addresses

Primary practice location

8690 West Pahs Rd.
Michigan City, IN 46360

Mailing address

204 Park Street
Wanatah, IN 46390
Phone (309) 339-8629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171110000582 IN Practitioner - Chiropractic 6204192065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Porterfield Family Chiropractic PCGroup PAC ID 2163653197, 2 clinicians

Practice addresses (Care Compare)

1550 Clark Rd
Valparaiso, IN 46385-7168
Phone (219) 850-1031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003003AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Porterfield Family Chiropractic PC Chiropractor CurrentSince Jan 8, 2022 Accepting new patients
Eaton Chiropractic Inc Chiropractor CurrentSince Nov 6, 2017 Accepting new patients

Locations

8690 W Pahs Rd
Michigan City, IN 46360
Phone (219) 872-5151

1550 Clark Rd
Valparaiso, IN 46385
Phone (219) 850-1031

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1861905499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PARK STREET",
            "city": "WANATAH",
            "state": "IN",
            "postal_code": "46390",
            "telephone_number": "309-339-8629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8690 WEST PAHS RD.",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "46360",
            "telephone_number": "219-872-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROON",
        "first_name": "ERIKA",
        "middle_name": "LEIGH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003003A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.