Heath Daniel Schipp, DC
Individual provider Active NPI Chiropractor · Paducah, KY
NPI 1891883443 · NPPES record last updated Sep 10, 2012
Key facts
- NPI
- 1891883443
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4822 (KY)
- Practice address
- 3240 Lone Oak Rd
Suite C
Paducah, KY 42003-0370 - Phone
- (270) 554-7661
- Fax
- (270) 554-7683
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3240 Lone Oak Rd
Suite C
Paducah, KY 42003-0370
Phone (270) 554-7661
3240 Lone Oak Rd C
Paducah, KY 42003-0370
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040223000276 | KY | Practitioner - Chiropractic | 5597650457 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Care Chiropractic Inc | Chiropractor | Current |
Accepting new patients |
Locations
3240 Lone Oak Rd
Ste C
Paducah, KY 42003
Phone (270) 554-7661
3240 Lone Oak Rd
Paducah, KY 42003
Phone (270) 554-7661
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4822 | KY | Yes |
Addresses
Primary practice location
3240 Lone Oak Rd
Suite C
Paducah, KY 42003-0370
Mailing address
3240 Lone Oak Rd
Suite C
Paducah, KY 42003-0370
Phone (270) 554-7661
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000322147 | Other | KY | BLUE CROSS BLUE SHIELD |
| 85002814 | Medicaid | KY |
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.