DR. JERALD G YADEN (NPI# 1033171038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033171038 |
| Entity Type | Individual |
| Full Name | DR. JERALD G YADEN |
| Credential | DC |
| Practice Address |
425 Barony St Moncks Corner SC 29461 |
| Practice Telephone | 8438997933 |
| Practice Fax Number | 8438995796 |
| Mailing Telephone | 8438997933 |
| Mailing Fax Number | 8438995796 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2007-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1432 | SC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CH1432 | 05 |
| Street Address |
425 BARONY ST |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958658 | Yaden Physical and Integrated Medical | Family Medicine | 425 Barony St, Moncks Corner, SC 29461-3128 | 2020-07-01 |
| 1689233090 | Iman Abdul-ali | Nurse Practitioner | 425 Barony St, Moncks Corner, SC 29461-3128 | 2019-06-10 |
| 1023294055 | Yaden Chiropractic Inc. | Chiropractor | 425 Barony St, Moncks Corner, SC 29461-3128 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| 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 |
|---|---|---|---|---|
| 1063655421 | Nicholas Aaron Mccoy | Chiropractor | 112 Broughton Rd, Ste B, Moncks Corner, SC 29461-4021 | 2009-04-15 |
| 1700031200 | Bryson Healthcare Inc. | Chiropractor | 484 N Highway 52, Sute 105, Moncks Corner, SC 29461-3964 | 2008-11-25 |
| 1942326954 | Robert Kelly Haselden Sr. | Chiropractor | 402 Altman St, Moncks Corner, SC 29461-3652 | 2007-03-21 |
| 1710025606 | Medical-rehab & Book Chiropractic | Chiropractor | 509 N Hwy. 52, Suite B, Moncks Corner, SC 29461 | 2007-02-02 |
| 1164587960 | Robert Lewis Pascal | Chiropractor | 202 Carolina Ave, Moncks Corner, SC 29461-3785 | 2006-12-22 |
| 1013082734 | Steven E Book | Chiropractor | 509 N Highway 52, Suite B, Moncks Corner, SC 29461-3153 | 2006-11-21 |
| 1831597772 | Clouse Chiropractic Services LLC | Chiropractor | 112 Broughton Rd, Suite B, Moncks Corner, SC 29461-4021 | 2014-12-09 |
| 1861759730 | William Anthony Milo | Chiropractor | 421 Barony St, Suite #105, Moncks Corner, SC 29461-3145 | 2012-04-17 |
| 1306117965 | Clouse Chiropractic Center | Chiropractor | 421 Barony St, Moncks Corner, SC 29461-3145 | 2012-01-13 |
| 1972834265 | Trips Chiropractic | Chiropractor | 202 Carolina Ave, Moncks Corner, SC 29461-3785 | 2010-01-26 |
| Find all providers in MONCKS CORNER | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
Please comment or provide details below to improve the information on DR. JERALD G YADEN.
| 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.