Gary Ross McLeod, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301004587 Issued in MI

Practice address

1107 W Broadway St
Three Rivers, MI 49093-9362

Phone

(269) 273-6712

Fax

(269) 273-3436

NPI assigned

Aug 22, 2005

Reactivated

Mar 31, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Doctor Hohman Enterprises

  • Chiropractor
  • Three Rivers, MI
  • NPI 1679273122
  NPD

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1972595213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "address_2": "1107 W. BROADWAY STREET",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490930447",
            "telephone_number": "269-273-6712",
            "fax_number": "269-273-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W BROADWAY ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939362",
            "telephone_number": "269-273-6712",
            "fax_number": "269-273-3436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "GARY",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2012-08-21",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2119428",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Martins, MD
• Janice McCallie
• Kari McClain, NP
• Katelyn Rae McEwan, NP
• Elizabeth McGee, L.P.C.
• Yolanda D McNary
• Meijer Inc
• Lydia Meyer
• Michael Sandborn, MD
• Michigan Emergency Physicians LLP

• Chiropractor in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.