TINA HARGROVE (NPI# 1013390939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013390939 |
| Entity Type | Individual |
| Full Name | TINA HARGROVE |
| Credential | DC |
| Practice Address |
639 W Main St Sheridan OR 97378-1121 |
| Practice Telephone | 5038433888 |
| Practice Fax Number | 5038434366 |
| Mailing Telephone | 5038433888 |
| Mailing Fax Number | 5038434366 |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2016-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5654 | OR | Chiropractic Providers |
| Street Address |
639 W MAIN ST |
| City | SHERIDAN |
| State | OR |
| Zip Code | 97378-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689047680 | Thunderstruck Farms Inc. | Chiropractor | 639 W Main St, Sheridan, OR 97378-1121 | 2015-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757193 | Andrew Barnes Grasley | General Practice | 2702 Sw Ballston Road, Sheridan, OR 97378 | 2006-08-16 |
| 1902878333 | Kenneth A Kelley | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2006-02-01 |
| 1790951440 | Sheridan Family Chiropractic PC | Chiropractor | 639 W Main, Sheridan, OR 97378 | 2008-05-02 |
| 1265959563 | Bettina Tamice Moore | Counselor | 901 W Main St, Sheridan, OR 97378-1003 | 2017-08-28 |
| 1467837344 | Cody Charron | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2015-07-21 |
| 1801918255 | Kenneth G Mize Dmdpc | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2007-04-05 |
| 1255338638 | Kenneth G Mize | Dentist | 411 W Main St, Sheridan, OR 97378-1117 | 2005-06-30 |
| 1598951634 | Julie Lynn Detamore | Acupuncturist | 552 Nw Evans St, Sheridan, OR 97378-1208 | 2007-09-21 |
| 1376076331 | Timothy Roaden | Peer Specialist | 356 Ne Faulconer Ct, Sheridan, OR 97378-1255 | 2017-04-06 |
| 1932238086 | Nancy Nunley | Registered Nurse | 220 Sw Jefferson St, Sheridan, OR 97378-1720 | 2007-03-05 |
| Find all providers in zip 97378 | ||||
| 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 |
|---|---|---|---|---|
| 1811471220 | Collin Drew Redinger | Chiropractor | 528 Coffeen Ave, Sheridan, WY 82801-5312 | 2018-09-21 |
| 1487044855 | Zachary Winkelmann | Chiropractor | 850 Val Vista St Ste A, Sheridan, WY 82801-3667 | 2015-01-23 |
| 1811220064 | Colin Eugene Hardy | Chiropractor | 24 E Grinnell Plz, Sheridan, WY 82801-3936 | 2009-09-04 |
| 1720235286 | Integrative Health, LLC | Chiropractor | 856 Coffeen Ave Ste 102, Sheridan, WY 82801-5318 | 2008-08-26 |
| 1669646022 | Betty L. Mitchell | Chiropractor | 214 W Loucks St, Sheridan, WY 82801-4209 | 2008-04-16 |
| 1003000688 | Husske Chiropractic Clinic | Chiropractor | 1265 Coffeen Ave, Sheridan, WY 82801-5325 | 2007-08-28 |
| 1255483368 | Buchanan Chiropractic PC | Chiropractor | 50 E Brundage Street, Sheridan, WY 82801-6353 | 2007-01-17 |
| 1003988213 | Patrick J Kirsch | Chiropractor | 25 E Alger St, Sheridan, WY 82801-3911 | 2006-11-14 |
| 1003995184 | Betty L Mitchell Dc PC | Chiropractor | 214 W Loucks, Sheridan, WY 82801 | 2006-11-02 |
| 1699856807 | Brian A Husske | Chiropractor | 1265 Coffeen Avenue, Sheridan, WY 82801 | 2006-10-17 |
| Find all providers in SHERIDAN | ||||
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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.