DR. JONATHAN OWEN NORDSTROM (NPI# 1043484793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043484793 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN OWEN NORDSTROM |
| Credential | D.C. |
| Practice Address |
800 W 18th St Suite 120 Edmond OK 73013-3758 |
| Mailing Address |
800 W 18th St Ste. 120 Edmond OK 73013-3758 |
| Practice Telephone | 4052860322 |
| Practice Fax Number | 4052857034 |
| Mailing Telephone | 4052860322 |
| Mailing Fax Number | 4052857034 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2014-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3867 | OK | Chiropractic Providers |
| Street Address |
800 W 18TH ST SUITE 120 |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821060849 | Mark Lee Wells | Physician Assistant | 800 W 18th St, Suite 130, Edmond, OK 73013-3758 | 2006-02-03 |
| 1538571690 | Koenig Healthcare Edmond Pllc | Physical Medicine & Rehabilitation | 800 W 18th St, Suite 130, Edmond, OK 73013-3758 | 2014-05-23 |
| 1619079332 | Brant Thomas Koenig | Chiropractor | 800 W 18th St, Suite 120, Edmond, OK 73013-3758 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| 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 |
|---|---|---|---|---|
| 1316556822 | Edmond Chiropractic Rehabilitation Pllc | Chiropractor | 3201 E Memorial Rd Ste C, Edmond, OK 73013-7093 | 2020-07-30 |
| 1154948073 | Thrive Chiropractic Group 3 LLC | Chiropractor | 1201 Nw 178th St Ste 119, Edmond, OK 73012-4280 | 2020-06-26 |
| 1548745797 | Radiant Life Chiropractic Pllc | Chiropractor | 17236 N May Ave Ste A, Edmond, OK 73012-9137 | 2018-10-03 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1720592678 | Joren Michael Whitley | Chiropractor | 1973 W 33rd St # 110, Edmond, OK 73013-3875 | 2017-11-29 |
| 1194243568 | Nightengale Chiropractic, LLC | Chiropractor | 2616 Covell Village Dr Ste. 120, Edmond, OK 73003 | 2017-09-06 |
| 1922555994 | Catherine Rose Haikin | Chiropractor | 1751 W 33rd St, Suite 130, Edmond, OK 73013 | 2016-09-07 |
| 1669837886 | Caitlin Hanks | Chiropractor | 29 W 15th St, Edmond, OK 73013-4002 | 2015-12-16 |
| 1619366127 | Dr. Megan January Pllc | Chiropractor | 15009 Bristol Park Blvd, Edmond, OK 73013-1887 | 2015-01-21 |
| 1750786448 | Cox Chiropractic | Chiropractor | 1801 Brittany Ln, Edmond, OK 73003-3871 | 2014-10-24 |
| Find all providers in EDMOND | ||||
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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.