POTTENGER FAMILY CHIROPRACTIC, LLC (NPI# 1013265370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013265370 |
| Entity Type | Organization |
| Organization Name | POTTENGER FAMILY CHIROPRACTIC, LLC |
| Practice Address |
500 Market St Ste 107 Beaver PA 15009-2998 |
| Practice Telephone | 7247743275 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |
| Authorized Official Name | DR. TYSON POTTENGER (DOCTOR / OWNER) |
| Authorized Official Telephone | 7708559081 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC010556 | PA | Chiropractic Providers |
| Street Address |
500 MARKET ST STE 107 |
| City | BEAVER |
| State | PA |
| Zip Code | 15009-2998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734494 | Renee Thomas | Registered Nurse | 659 3rd Street, Upper Suite, Beaver, PA 15009 | 2019-01-14 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 1861845208 | Gary Koch | Psychologist | 500 Market St Ste 204b, Beaver, PA 15009 | 2016-07-21 |
| 1326367616 | Merakey Pennsylvania | Community/Behavioral Health | 148 Theodore Drive, Chippewa, PA 15009 | 2010-05-26 |
| 1912237215 | Sandra L. Mckeel | Counselor | 697 State Street, Vanport, PA 15009 | 2010-01-08 |
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1700040730 | Marie R Brauch | Counselor | 697 State St, #5, Beaver, PA 15009 | 2008-07-18 |
| 1932376696 | Justin Dosch | Emergency Medicine | 1000 Dutch Run Rd, Beaver, PA 15009 | 2008-05-13 |
| 1023280492 | Paul Michael Kuzma Jr Md | Ophthalmology | 628 Market Street, Bridgewater, PA 15009 | 2008-03-26 |
| 1881877868 | Jaime Michelle Kinkead | Social Worker | 160 Third Street, Beaver, PA 15009 | 2007-12-12 |
| Find all providers in zip 15009 | ||||
| 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 |
|---|---|---|---|---|
| 1023183613 | David J Cutich | Chiropractor | 1311 3rd St, Beaver, PA 15009-2531 | 2006-11-21 |
| 1477624690 | Stephen Robert Arbuckle | Chiropractor | 298 E End Ave, Beaver, PA 15009-2808 | 2006-11-10 |
| 1790792992 | Alisha Danyiel Anderson | Chiropractor | 385 Airport Rd, Beaver, WV 25813-9596 | 2006-08-01 |
| 1104877463 | Joseph Kelly | Chiropractor | 4425 Dutch Ridge Rd, Beaver, PA 15009 | 2006-05-12 |
| 1245626605 | Back To Health Chiropractic | Chiropractor | 385 Airport Rd, Beaver, WV 25813-9596 | 2015-04-13 |
| 1568860286 | Trautman Chiropractic & Spinal Rehabilitation LLC | Chiropractor | 1701 3rd St, Beaver, PA 15009-2432 | 2014-12-11 |
| 1669878815 | Lukas Johnson | Chiropractor | 298 E End Ave, Beaver, PA 15009-2808 | 2014-11-17 |
| 1366698672 | Rolando Bello Jr. | Chiropractor | 99 Bridge St, Suite 1, Beaver, PA 15009-2956 | 2008-08-18 |
| 1467638759 | Advantage Chiropractic Centers, LLC | Chiropractor | 298 E End Ave, Beaver, PA 15009-2808 | 2008-01-16 |
| 1235260803 | Cutich Chiropractic | Chiropractor | 1311 3rd St, Beaver, PA 15009-2531 | 2007-03-08 |
| Find all providers in BEAVER | ||||
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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.