DR. ERNEST RICHARD CENTOFANTI (NPI# 1073542858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073542858 |
| Entity Type | Individual |
| Full Name | DR. ERNEST RICHARD CENTOFANTI |
| Credential | D.C., C.C.S.P. |
| Practice Address |
3078 Main St Marlette MI 48453-0245 |
| Mailing Address |
3078 Main St Po Box 245 Marlette MI 48453-1292 |
| Practice Telephone | 9896353828 |
| Practice Fax Number | 9896353828 |
| Mailing Telephone | 9896353828 |
| Mailing Fax Number | 9896353828 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
005491 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 950G65244 | 01 |
| MI | 2582862 | 05 |
| Street Address |
3078 MAIN ST |
| City | MARLETTE |
| State | MI |
| Zip Code | 48453-0245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235333931 | Marlette Regional Hospital | Family Medicine | 2750 Main St Ste 2, Marlette, MI 48453 | 2007-06-14 |
| 1902811367 | Ehardt's Pharmacy Incorporated | Pharmacy | 6541 Plaza Dr., Marlette, MI 48453 | 2006-07-31 |
| 1013988898 | Mohan Dass Macha | Surgery | 6417 E Marlette St, Marlette, MI 48453 | 2006-01-30 |
| 1346614088 | Shannon Lee Swanson | Nurse Practitioner | 2750 Main St Ste 2, Marlette, MI 48453 | 2015-11-18 |
| 1619988789 | Wagner Physical Therapy Inc | Occupational Therapist | 3105 Main St, Marlette, MI 48453 | 2006-08-11 |
| 1528135522 | George Walter Mcmillan Jr. | Psychologist | 6444 Morris Street, Marlette, MI 48453-0325 | 2006-11-29 |
| 1235420944 | Associates In Eyecare Plc | Durable Medical Equipment & Medical Supplies | 2575 S. Vandyke Rd, Suite 104, Marlette, MI 48453-0398 | 2011-04-28 |
| 1205936176 | Lawrence Holen | Orthopaedic Surgery | 2750 Main St, Suite 6, Marlette, MI 48453-1100 | 2006-09-22 |
| 1336765916 | Marko Lubardic | Student in an Organized Health Care Education/Training Program | 2750 Main St Ste 2, Marlette, MI 48453-1100 | 2020-06-19 |
| 1225495013 | Marlette Regional Hospital | Orthopaedic Surgery | 2750 Main St, Marlette, MI 48453-1100 | 2016-01-25 |
| Find all providers in zip 48453 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215583273 | Marc A Gusse | Chiropractor | 3845 Iris Dr, Waterford Township, MI 48329-1171 | 2019-08-15 |
| 1326690728 | Theodore M. Koukles Dc PC | Chiropractor | 44777 Hayes Rd Ste A, Sterling Heights, MI 48313-1421 | 2019-07-15 |
| 1285150888 | Northwest Chiropractic and Sports Medicine Pllc | Chiropractor | 14321 Northland Dr Ste 1, Big Rapids, MI 49307-2310 | 2017-08-16 |
| 1750768222 | Michael Justin Ramar | Chiropractor | 2061 25 Mile Rd, Shelby Township, MI 48316 | 2015-05-04 |
| 1932504958 | Shane William Pluger | Chiropractor | 2815 Michigan St Ne Ste C, Grand Rapids, MI 49506-1266 | 2014-11-03 |
| 1346662848 | American Chiropractic Medical Services LLC | Chiropractor | 621 Chartier Ste B, Marine City, MI 48039-2350 | 2014-01-17 |
| 1235443763 | Ryan Deubel | Chiropractor | 4627 Don St, Holt, MI 48842-1147 | 2010-07-26 |
| 1083889984 | Albion Chiropractic Clinic PC | Chiropractor | 404 E Michigan Ave, Albion, MI 49224-1845 | 2008-04-23 |
| 1659591709 | Charles Fred Decker | Chiropractor | 1324 S Park St Ste 3, Kalamazoo, MI 49001-2735 | 2007-04-30 |
| 1891879318 | Dr. James K. Sommers, Inc, PC | Chiropractor | 2844 Baker Rd, Dexter, MI 48130-1114 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
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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.