DR. MARTINA PETERSON (NPI# 1033683677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033683677 |
| Entity Type | Individual |
| Full Name | DR. MARTINA PETERSON |
| Credential | DC |
| Practice Address |
306 Main St East Jordan MI 49727-5127 |
| Mailing Address |
Po Box 493 East Jordan MI 49727-0493 |
| Practice Telephone | 2316750733 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301010699 | MI | Chiropractic Providers |
| Street Address |
306 MAIN ST |
| City | EAST JORDAN |
| State | MI |
| Zip Code | 49727-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663475 | Monarch Family Chiropractic LLC | Clinic/Center | 306 Main St, East Jordan, MI 49727-5127 | 2019-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760090278 | William R Desjardins Dds PC | Dentist | 101 Maple Ridge Dr., East Jordan, MI 49727 | 2020-07-21 |
| 1427534924 | Richard L Mason | Pharmacist | 250 S Lake Street, East Jordan, MI 49727 | 2018-07-17 |
| 1952389629 | Richard Lewis Johnson Sr. | Dentist | 121 Main Street, East Jordan, MI 49727 | 2006-01-04 |
| 1013550151 | Munson Healthcare Charlevoix Hospital | Clinic/Center | 100 Main Street, East Jordan, MI 49727 | 2019-10-22 |
| 1558428177 | City of East Jordan | Ambulance | 201 Main Street, East Jordan, MI 49727 | 2007-01-02 |
| 1861402430 | William B Bice | Pharmacist | 100 Main St., Box 1229, East Jordan, MI 49727-1229 | 2006-08-08 |
| 1881195824 | Jaleesa O'neal | Physical Therapist | 100 Main St Ste 9, East Jordan, MI 49727-5114 | 2018-02-26 |
| 1154490241 | Sara Elizabeth Hall | Dentist | 121 Main St, East Jordan, MI 49727-5114 | 2006-11-06 |
| 1770930943 | Cynthia Ann Pepin | Social Worker | 2765 S M 66, East Jordan, MI 49727-8005 | 2016-05-18 |
| 1659704633 | David Gordon Reed | Family Medicine | 3620 Chula Vista Dr, East Jordan, MI 49727-8629 | 2013-08-14 |
| Find all providers in zip 49727 | ||||
| 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 |
|---|---|---|---|---|
| 1134549553 | Daniel J Thomas Dc | Chiropractor | 101 Bridge St, East Jordan, MI 49727-9301 | 2014-04-24 |
| 1891893418 | Daniel J Thomas | Chiropractor | 101 Bridge St, East Jordan, MI 49727-9301 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860240 | Moriah K Severance | Chiropractor | 2449 W Kimmel Rd, Jackson, MI 49201-9783 | 2020-10-30 |
| 1760082465 | David Scott Severance | Chiropractor | 11720 Tompkins Rd, Rives Junction, MI 49277-9629 | 2020-10-30 |
| 1760082705 | Kelly Chiropractic Clinic, LLC | Chiropractor | 3179 12 Mile Rd, Berkley, MI 48072-1339 | 2020-10-29 |
| 1619584273 | Sydnee Laree Rutledge | Chiropractor | 3634 Mccain Rd Ste 7, Jackson, MI 49203-2576 | 2020-09-28 |
| 1790391860 | Ferras Dassouki | Chiropractor | 1126 Hunter Ct, Milford, MI 48381-3180 | 2020-09-23 |
| 1811503972 | Nicholas Heiserman | Chiropractor | 498 E Monroe St, Dundee, MI 48131-1321 | 2020-09-23 |
| 1114532835 | Pro-active Chiropractic Wellness of Grand Rapids | Chiropractor | 4270 Plainfield Ave Ne # E, Grand Rapids, MI 49525-1603 | 2020-09-10 |
| 1215540463 | Lake State Chiropractic Pllc | Chiropractor | 2155 84th St Sw Ste 4, Byron Center, MI 49315-8259 | 2020-08-27 |
| 1609488402 | Primrose Family Chiropractic and Wellness Center | Chiropractor | 25900 Greenfield Rd Suite 252, Oak Park, MI 48237-1297 | 2020-08-21 |
| 1780295063 | Wilhelm Family Chiropractic and Massage Pllc | Chiropractor | 23200 Pontiac Trl, South Lyon, MI 48178-1983 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | EAST JORDAN |
| Zip Code | 49727 |
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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.