FANTASTIC HEALTH CHIROPRACTIC, PLLC (NPI# 1114100690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114100690 |
| Entity Type | Organization |
| Organization Name | FANTASTIC HEALTH CHIROPRACTIC, PLLC |
| Practice Address |
947 W Broadway Ave Muskegon MI 49441-3586 |
| Practice Telephone | 2317555400 |
| Practice Fax Number | 2317555418 |
| Mailing Telephone | 2317555400 |
| Mailing Fax Number | 2317555418 |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. TZUCHIANG FAN (CHIROPRACTOR) |
| Authorized Official Telephone | 2317555400 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NR0200X |
Chiropractor Specialization: Radiology |
========= | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 950F11202 | 01 |
| Street Address |
947 W BROADWAY AVE |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49441-3586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
| 1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
| 1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
| 1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
| Find all providers in zip 49441 | ||||
| Taxonomy Code | 111NR0200X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Radiology |
| Chiropractic radiology is a referral specialty that provides consultation services at the request of other qualified doctors. Chiropractic radiologists provide consultation in health care facilities (private offices, hospitals and teaching institutions) to meet the needs of referring doctors and their patients. The quality of the consultative services by the chiropractic radiologist in independent practice is reflected by the quality of their professional credentials. Chiropractic radiologists recommend, supervise, and interpret radiologic studies as well as advanced imaging procedures. They advise referring physicians on the necessity and appropriateness of radiologic services and whether to select or to avoid certain diagnostic or clinical procedures. In some instances the radiologist may act as a private practitioner. They may conduct research and apply diagnostic radiologic procedures and may be called upon to act as expert witnesses in matters of litigation. Chiropractic radiologists are also concerned with imaging technology including image production, demonstration of normal and abnormal anatomy, and the interaction of energy and matter. The advances in the technological facets of radiology are so rapid that only qualified radiologists can reasonably be expected to maintain the high level of proficiency required to supervise and interpret these procedures. The practice of radiology continuously involves the application of this technology to patient imaging and treatment. It is now well recognized that chiropractic radiology includes, but is not limited to, plain film radiography, fluoroscopy, tomography, ultrasonography, radioisotope imaging, computed tomography, digital radiography, and magnetic resonance imaging. Individual practices may vary by intent, licensure, and scope of practice laws. |
| Notes: Source: American Chiropractic Board of Radiology, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184611006 | Gene W Gamet | Chiropractor | 6022 Harvey St, Ste G, Muskegon, MI 49444-8802 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164804399 | Tarry Chiropractic Plc | Chiropractor | 6427 Centurion Dr, Lansing, MI 48917-8295 | 2015-06-24 |
| 1881873651 | Abc Back & Neck Care of Waterford | Chiropractor | 5663 Highland Rd, Waterford, MI 48327-1972 | 2007-10-30 |
| 1114134681 | Gregerson Radiology Consultants Ltd. | Chiropractor | 8004 Red Fox Rd, Stanwood, MI 49346 | 2007-05-16 |
| 1619035490 | Ronald Harlan Liedel Jr. | Chiropractor | 27108 Telegraph Rd, Flat Rock, MI 48134-1659 | 2006-12-05 |
| 1356413033 | James W White Jr. | Chiropractor | 6070 Fenton Rd, Suite 5, Flint, MI 48507-4747 | 2006-11-15 |
| 1639107378 | Kathleen Mary Rohlig | Chiropractor | 412 N Center St, Northville, MI 48167-1224 | 2006-06-29 |
| 1992748834 | William M Williams | Chiropractor | 3050 E Lake Lansing Rd, East Lansing, MI 48823-2284 | 2006-06-14 |
| 1952931172 | Spectrum Chiropractic and Health | Chiropractor | 690 Riverside Ave, Adrian, MI 49221-1544 | 2020-01-16 |
| 1548784838 | Raj Medical Associates Md PC | Chiropractor | 26222 Telegraph Rd, Southfield, MI 48033 | 2017-07-28 |
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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.