AUSTIN HUBBARD (NPI# 1023555166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023555166 |
| Entity Type | Individual |
| Full Name | AUSTIN HUBBARD |
| Gender | Male |
| Credential | D.C |
| Practice Address | 295 N Broad St Carlinville IL 62626-1301 |
| Practice Telephone | 2178548211 |
| Practice Fax Number | 2178543636 |
| Mailing Address | 295 N Broad St Carlinville IL 62626-1301 |
| Mailing Telephone | 2178548211 |
| Mailing Fax Number | 2178543636 |
| Certification Date | 2020-06-02 |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2020-06-02 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.013450 | IL | Chiropractic Providers | |
| N | 111N00000X | Chiropractor | 2017002310 | MO | Chiropractic Providers |
| PECOS Associate Control (PAC) ID | 4880978261 by Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20170302001672 |
| Last Name | HUBBARD |
| First Name | AUSTIN |
| Middle Name | SHERMAN THOMAS |
| Organization Legal Name | ELITE CHIROPRACTIC OF BRANSON WEST LLC |
| Location | 108 Silver Lady Ln, Branson West, MO 65737-7454 |
| Phone Number | 4172728484 |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2016 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 2264713452 |
| Number of Group Practice Members | 2 |
| Street Address | 295 N BROAD ST |
| City | CARLINVILLE |
| State | IL |
| Zip Code | 62626-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972553410 | Mark W. Wade | Chiropractor | 295 N Broad St, Carlinville, IL 62626-1301 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174707939 | Carlinville Chiropractic Clinic Ltd | Chiropractor | 295 North Broad, Carlinville, IL 62626-1301 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710521984 | Cottages At Carlinville, Inc | Assisted Living Facility | 18804 Rt. 4, Carlinville, IL 62626 | 2019-10-31 |
| 1184266348 | Susan Lynne Fite | Pharmacist | 18600 Shipman Blacktop Road, Carlinville, IL 62626 | 2019-10-09 |
| 1497396048 | Jill Louise Kasting | Pharmacist | 18600 Shipman Blacktop Rd, Carlinville, IL 62626 | 2019-10-04 |
| 1669013215 | Rebecca Lynn Sanson | Pharmacist | 18600 Shipman Blacktop, Carlinville, IL 62626 | 2019-10-04 |
| 1134561822 | Fenton Family Chiropractic PC | Chiropractor | 490 West Side Square, Carlinville, IL 62626 | 2013-07-23 |
| 1992020499 | Carlinville Area Hospital Association | Clinic/Center · Rural Health | 1115 Morgan Street #2, Carlinville, IL 62626 | 2010-03-29 |
| 1730213026 | Carlinville Medical Clinic, Inc. | Nurse Practitioner · Family | 604 N. Broad, Carlinville, IL 62626 | 2007-03-16 |
| 1720155906 | Rodney Lee Bailey | Dentist · General Practice | 201 Mccausland, Suite A, Carlinsville, IL 62626 | 2006-11-30 |
| 1255412599 | Nicolas E Kravanya Dmd LLC · Kravanya & Boente Family Dentistry | Dentist · General Practice | 204 Oakland Ave, Carlinville, IL 62626 | 2006-10-17 |
| 1558456210 | Locust Street Resource Center · Macoupin County Mental Health | Clinic/Center · Mental Health (Including Community Mental Health Center) | 320 South Locust Street, Carlinville, IL 62626 | 2006-10-04 |
| Find all providers in zip 62626 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134561822 | Fenton Family Chiropractic PC | 490 West Side Square, Carlinville, IL 62626 | 2013-07-23 | |
| 1093037541 | Paul J Walton | 110 E 1st North St, Carlinville, IL 62626-1505 | 2010-02-25 | |
| 1578738811 | Gayle M. Hebner | 625 N Broad St, Carlinville, IL 62626-0316 | 2008-04-28 | |
| 1588842215 | Kenneth Edward Reckelhoff | 490 W Side Sq, Carlinville, IL 62626-1796 | 2008-02-05 | |
| 1174707939 | Carlinville Chiropractic Clinic Ltd | 295 North Broad, Carlinville, IL 62626-1301 | 2007-12-28 | |
| 1972553410 | Mark W. Wade | 295 N Broad St, Carlinville, IL 62626-1301 | 2006-05-12 | |
| 1720074156 | Kelly Anne Calloway | 228 N Chiles St, Carlinville, IL 62626-1606 | 2005-09-21 | |
| 1780684233 | Craig Andrew Tiburzi | 130 Carlinville Plz, Carlinville, IL 62626-1191 | 2005-07-27 | |
| 1407313547 | Timothy John Hillis | 490 W Side Sq, Carlinville, IL 62626-1796 | 2019-02-25 | |
| 1841623261 | Michelle Renee Tiburzi | 130 Carlinville Plz, Carlinville, IL 62626-1191 | 2013-08-21 | |
| Find all providers in CARLINVILLE | ||||
| City | CARLINVILLE |
| Zip Code | 62626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245300151 | City of Hubbard · Hubbard Community Ambulance | Ambulance · Land Transport | 323 E Maple, Hubbard, IA 50122 | 2006-11-08 |
| 1851923676 | Drew Austin Garner Willoughby | Physical Therapist | 700 Ne 4th St, Hubbard, TX 76648-2517 | 2020-02-10 |
| 1609845809 | Charles Jason Hubbard | Podiatrist | 1015 E 32nd St, Ste 101, Austin, TX 78705-2707 | 2006-03-17 |
| 1265907026 | Caroline Allison Hubbard | Speech-Language Pathologist | 9616 N Lamar Blvd Ste 105, Austin, TX 78753-4163 | 2018-10-09 |
| 1417240037 | Kimberley Hubbard Strickland | Occupational Therapist | 9433 Bee Cave Rd, Bldg 3, Suite 101, Austin, TX 78733-6135 | 2011-05-17 |
| 1639438070 | Andrew Hubbard Miller | Surgery | 13915 N. Mopac Expwy, Suite 100, Austin, TX 78728 | 2012-05-04 |
| 1164828091 | Hubbard Recovery,Llc · 164 Counseling Services | Clinic/Center · Rehabilitation, Substance Use Disorder | 701 North 5th Street, Suite A, Hubbard, TX 76648 | 2014-11-04 |
| 1053324590 | Judy J Hubbard · Judith Jandrey Hubbard | Registered Nurse · Community Health | 3208 Se 152nd Ave, Vancouver, WA 98683-5137 | 2006-08-15 |
| 1255513958 | Evelyn Frances Hubbard · Frankie Hubbard | Counselor · Mental Health | 6848 Magnolia Ave, Ste 200, Riverside, CA 92506-2857 | 2007-12-04 |
| 1518046424 | Hubbard Surgical Fitting Center · Hfsc | Registered Nurse | 10 East Liberty St, Hubbard, OH 44425-2159 | 2006-11-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.