Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578078838 Individual Practitioner Male Practitioner

Dr. Joshua Daniel Wideman , DC

Chiropractor • Granite City, IL

Professional Overview & Biography Verified Profile Summary

Dr. Joshua Wideman, DC is a registered healthcare professional specializing in Chiropractor in Granite City, IL. Practice services are available at 3986 MARYVILLE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3986 Maryville Rd

Granite City, IL 620404191

Telephone 6187970618
Associated Practice Facility / Clinic
🏢 Multi-Care Specialists Sc Facility NPI 1811087604

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Granite City, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.7 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
22 Specialists

Practicing in Granite City, IL (4730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-04
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IL 038.013405

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License MO 2017014934

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1134447519

Doctor of Chiropractic

Dr. David Priebe , MD

Family Medicine - Sports Medicine

NPI 1194769166

Doctor of Medicine (M.D.)

NPI 1285053504

Doctor of Chiropractic

NPI 1629037536

Doctor of Chiropractic

Corey Voss , PT

Physical Therapist

NPI 1720043029

Physical Therapist

Amanda Basham , FNP-BC

Nurse Practitioner

NPI 1780326454

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 04, 2020

Registered at 3986 MARYVILLE RD, GRANITE CITY, IL 620404191 (Tel: 6187970618)

📍
Updated Business Mailing Address February 04, 2020

Registered at 3986 MARYVILLE RD, GRANITE CITY, IL 620404191 (Tel: 6187970618)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2020

Chiropractor (License #038.013405 in IL)

NPI Profile Active December 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2017

Registered at 1099 MILWAUKEE ST STE 240, KIRKWOOD, MO 631227360 (Tel: 3148221502)

📍
Updated Business Mailing Address December 08, 2017

Registered at 1099 MILWAUKEE ST STE 240, KIRKWOOD, MO 631227360 (Tel: 3148221502)

👤
Provider Name / Credentials Updated December 08, 2017

Recorded as JOSHUA WIDEMAN, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2017

Chiropractor (License #2017014934 in MO)

🟢
Initial NPI Registration & Enumeration December 08, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578078838
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2017
Last Update: February 04, 2020
Sole Proprietor: No

Mailing Address

3986 Maryville Rd

Granite City, IL 620404191

Phone: 6187970618

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.