JACOB M PARRISH (NPI# 1083944466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083944466 |
| Entity Type | Individual |
| Full Name | JACOB M PARRISH |
| Credential | DC |
| Practice Address |
2004 E Broadway Ave Maryville TN 37804-3033 |
| Practice Telephone | 8659824301 |
| Practice Fax Number | 8659824302 |
| Mailing Telephone | 8659824301 |
| Mailing Fax Number | 8659824302 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2369 | TN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | LICENSE NUMBER | 2369 | 01 |
| BIRTHDAY | 11/14/1979 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955060 | Jacob Tyler Parrish | Nurse Practitioner | 10918 Sagevale Ln, Houston, TX 77089-3709 | 2020-02-29 |
| Street Address |
2004 E BROADWAY AVE |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639266364 | Chiropractic Services Inc | Chiropractor | 2004 E Broadway Ave, Maryville, TN 37804-3033 | 2006-10-06 |
| 1891031704 | Chiropractic Services Inc. | Chiropractor | 2004 E Broadway Ave, Maryville, TN 37804-3033 | 2012-12-20 |
| 1376693663 | Walter Pluznyk | Chiropractor | 2004 E Broadway Ave, Maryville, TN 37804-3033 | 2007-01-11 |
| 1750431946 | Chiropractic Services Inc | Exclusive Provider Organization | 2004 E Broadway Ave, Maryville, TN 37804-3033 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| 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 |
|---|---|---|---|---|
| 1649799966 | Carolyn Rose Filla | Chiropractor | 1780 W Lamar Alexander Pkwy, Maryville, TN 37801-3784 | 2017-09-19 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1457684219 | Bryan W Reid | Chiropractor | 2805 N Center St, Maryville, IL 62062-5622 | 2009-09-11 |
| 1154569150 | Catherine R Flynn | Chiropractor | 802 Mountain View Ave, Maryville, TN 37803-4822 | 2009-01-29 |
| 1659563542 | Walsh Chiropractic Ltd | Chiropractor | 2800 N Center, Maryville, IL 62062 | 2007-08-14 |
| 1053523811 | Steven R Watts | Chiropractor | 1011 W Broadway Ave, Maryville, TN 37801-4638 | 2007-05-04 |
| 1558586727 | Olav E. Lipiec | Chiropractor | 26044 Lakeview Dr, Maryville, MO 64468-7263 | 2007-04-14 |
| 1801931142 | Evan William Butcher | Chiropractor | 2724 E Broadway Ave, Maryville, TN 37804-2557 | 2007-02-21 |
| 1407991771 | Southern Illinois Chiropractic Center | Chiropractor | 2 Professional Park Drive, Suite B, Maryville, IL 62062-5746 | 2007-02-21 |
| 1801943113 | Bryan R Ardis | Chiropractor | 1103 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 | 2007-01-05 |
| Find all providers in MARYVILLE | ||||
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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.