DR. ZACHARY AUSTIN VANDERWEIDE (NPI# 1063970473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063970473 |
| Entity Type | Individual |
| Full Name | DR. ZACHARY AUSTIN VANDERWEIDE |
| Credential | DC |
| Practice Address |
2855 Byron Center Ave Sw Wyoming MI 49519-2415 |
| Mailing Address |
388 Spaulding Hills Cir Se Apt 205 Ada MI 49301-7885 |
| Practice Telephone | 6165322518 |
| Mailing Telephone | 6165407467 |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2019-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301010785 | MI | Chiropractic Providers |
| Street Address |
2855 BYRON CENTER AVE SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49519-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881680403 | Gerald B Kooistra | Chiropractor | 2855 Byron Center Ave Sw, Wyoming, MI 49519-2415 | 2005-09-20 |
| 1346806288 | Kaitlynn Kristine Rosier | Chiropractor | 2855 Byron Center Ave Sw, Wyoming, MI 49519-2415 | 2019-05-16 |
| 1396018446 | Kooistra Chiropractic Clinic Pllc | Chiropractor | 2855 Byron Center Ave Sw, Wyoming, MI 49519-2415 | 2012-02-21 |
| 1770640211 | Jared Lee Kooistra | Chiropractor | 2855 Byron Center Ave Sw, Wyoming, MI 49519-2415 | 2007-01-03 |
| 1417943036 | Charles Scott Kooistra | Chiropractor | 2855 Byron Center Ave Sw, Wyoming, MI 49519-2415 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609364009 | Alexandra K Hylen | Dentist | 4489 Byron Center Ave Sw Ste A, Wyoming, MI 49519 | 2018-05-01 |
| 1962925685 | Nicole Lee Kolasa | Rehabilitation Counselor | 2038 Melvin St. Sw, Wyoming, MI 49519 | 2017-07-25 |
| 1720534472 | Michael Ash | Rehabilitation Practitioner | 1870 36th Street, Wyoming, MI 49519 | 2016-08-31 |
| 1891248993 | Kayleigh Saucier | Family Medicine | 5900 Byron Center Avenue Se, Wyoming, MI 49519 | 2016-07-26 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1033547658 | Maranda Catherine Gary | Nurse Practitioner | 2122 Health Drive, Wyoming, MI 49519 | 2013-10-16 |
| 1144657800 | Diana Ro | Psychologist | 4211 Parkway Place Sw, #100, Wyoming, MI 49519 | 2013-09-26 |
| 1386077873 | Lindsey Elizabeth Chorney | Nurse Practitioner | 2122 Health Drive Sw, Suite 133, Wyoming, MI 49519 | 2013-08-20 |
| 1124377163 | Vision and Sensory Center of Michigan LLC | Optometrist | 4467 Byron Center Ave., Wyoming, MI 49519 | 2012-09-06 |
| 1881940203 | Judah | Durable Medical Equipment & Medical Supplies | 2975 Waterchase Way Sw Suite 307, Wyoming, MI 49519 | 2012-08-03 |
| Find all providers in zip 49519 | ||||
| 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 |
|---|---|---|---|---|
| 1134603798 | Brian Davis Plummer | Chiropractor | 4500 Penny Ln Sw, Wyoming, MI 49418-8324 | 2018-09-19 |
| 1740703503 | Jeremiah Gordon Clarke | Chiropractor | 5570 Wilson Ave Sw Ste L, Wyoming, MI 49418-8867 | 2017-07-24 |
| 1215306188 | Katherine Demeester | Chiropractor | 1027 Gezon Pkwy Sw, Wyoming, MI 49509-9542 | 2015-09-21 |
| 1881029643 | Christina Violante | Chiropractor | 1851 44th St Sw Ste N, Wyoming, MI 49519-6440 | 2013-09-11 |
| 1114266053 | Grand Rapids Medical Center Inc | Chiropractor | 551 36th St Se Unit D, Wyoming, MI 49548-2355 | 2013-02-13 |
| 1760735641 | Paul Alan Kaminski | Chiropractor | 1845 R W Berends Dr Sw, Wyoming, MI 49519-4955 | 2012-10-17 |
| 1124318183 | Erik Kowalke | Chiropractor | 1021 Gezon Pkwy Sw, Wyoming, MI 49509-9542 | 2011-04-12 |
| 1427355817 | Wyoming Chiropractic Clinic LLC | Chiropractor | 112 E Webster St, Wyoming, IA 52362-7775 | 2011-02-21 |
| 1588988174 | Tuong-quynh Thuy Vu | Chiropractor | 2950 Vicky Dr Sw, Wyoming, MI 49418-8720 | 2010-03-25 |
| 1982934907 | Craft Chiropractic Center PC | Chiropractor | 1586 44th St Sw, Wyoming, MI 49509-4314 | 2010-01-14 |
| Find all providers in WYOMING | ||||
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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.