DR. WALTER CLINTON ROGERS (NPI# 1023501657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023501657 |
| Entity Type | Individual |
| Full Name | DR. WALTER CLINTON ROGERS |
| Credential | DC |
| Practice Address |
3615 S Houston Levee Rd Ste 110 Collierville TN 38017 |
| Mailing Address |
3615 S Houston Levee Rd Collierville TN 38017-9192 |
| Practice Telephone | 9012217173 |
| Mailing Telephone | 9012217173 |
| Mailing Fax Number | 9012217934 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2019-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC0000003014 | TN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790020345 | Walter Reginald Rogers Sr. | Family Medicine | 1046 E 82nd St, Apartment 1, Brooklyn, NY 11236-4224 | 2012-12-10 |
| 1104883032 | Walter Benton Rogers | Optometrist | 3931 Veterans Memorial Dr, Adamsville, AL 35005-2261 | 2006-04-26 |
| 1497376222 | Walter Rogers | Pharmacist | 251 Miracle Strip Pkwy Se, Fort Walton Beach, FL 32548-5853 | 2020-05-04 |
| Street Address |
3615 S HOUSTON LEVEE RD STE 110 |
| City | COLLIERVILLE |
| State | TN |
| Zip Code | 38017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609234657 | The Chiro Place of Collierville Pllc | Chiropractor | 3615 S Houston Levee Rd Ste 110, Collierville, TN 38017-9173 | 2016-02-05 |
| 1679130249 | Caiya T Moncrief | Chiropractor | 3615 S Houston Levee Rd Ste 110, Collierville, TN 38017-9173 | 2019-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1104440171 | Cecelia Hunt | Social Worker | 2555 Halle Parkwsy, Collierville, TN 38017 | 2020-06-04 |
| 1053803403 | Sarah Harris | Physical Therapist | 605 Heather Lake Cv, Collierville, TN 38017 | 2018-06-01 |
| 1023507811 | Sandra P Morris | Pharmacist | 560 West Poplar, Collierville, TN 38017 | 2018-05-07 |
| 1043751159 | Rahim Panjwani | Physical Therapist | 2028 W. Poplar Ave, Collierville, TN 38017 | 2017-03-09 |
| 1104273234 | The Branch House | Counselor | 562 Center St, Collierville, TN 38017 | 2016-05-18 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1235520628 | Bonnie Morales | Nurse Practitioner | 472 W. Poplar Ave, Collierville, TN 38017 | 2015-02-06 |
| 1841616513 | First Choice Transportation | Non-emergency Medical Transport (VAN) | 336 E. Valleywood Drive, Collierville, TN 38017 | 2014-03-05 |
| 1821424276 | Shana Cole Cannon | Licensed Practical Nurse | 777 W. Poplar Ave., Suite 104, Collierville, TN 38017 | 2013-09-17 |
| Find all providers in zip 38017 | ||||
| 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 |
|---|---|---|---|---|
| 1144827338 | George Nathan Freeman IIi | Chiropractor | 2028 W. Poplar, Suite 105, Collierville, TN 38017 | 2020-10-01 |
| 1609234657 | The Chiro Place of Collierville Pllc | Chiropractor | 3615 S Houston Levee Rd Ste 110, Collierville, TN 38017-9173 | 2016-02-05 |
| 1760840052 | Amodeo Chiropractic Center Inc | Chiropractor | 161 Hwy 72 East, Collierville, TN 38017 | 2016-02-02 |
| 1215375662 | Keith Alan Amodeo | Chiropractor | 777 W Poplar Ave Ste 104, Collierville, TN 38017-6500 | 2013-06-07 |
| 1750653572 | Dena Delvaron Granger | Chiropractor | 3615 S Houston Levee Rd, Collierville, TN 38017-9192 | 2012-02-09 |
| 1144559816 | Tennessee Scoliosis Center PC | Chiropractor | 622 W Poplar Ave Ste 5-800, Collierville, TN 38017-6503 | 2009-12-09 |
| 1619110657 | Lindsey Therese Denson Carr | Chiropractor | 1180 Greenview Rd, Collierville, TN 38017-1162 | 2009-04-07 |
| 1770611568 | Walter S Walker | Chiropractor | 336 Poplar View Pkwy Ste 2, Collierville, TN 38017-3436 | 2007-03-01 |
| 1528105574 | David Kellenberger | Chiropractor | 2140 W Poplar Ave Ste 107, Collierville, TN 38017 | 2007-01-31 |
| 1578570453 | Steven Ray Amodeo | Chiropractor | 777 W Poplar Ave, Suite 104, Collierville, TN 38017-2592 | 2006-08-02 |
| Find all providers in COLLIERVILLE | ||||
| City | COLLIERVILLE |
| Zip Code | 38017 |
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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.