MR. SCOTT P MAYSTROVICH (NPI# 1114910270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114910270 |
| Entity Type | Individual |
| Full Name | MR. SCOTT P MAYSTROVICH |
| Credential | D.C. |
| Practice Address |
5625 N Wall St Spokane WA 99205-6435 |
| Practice Telephone | 5094821982 |
| Practice Fax Number | 5094821983 |
| Mailing Telephone | 5094821982 |
| Mailing Fax Number | 5094821983 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00034050 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2026813 | 05 | |
| WA | ASURIS | 2433MA | 01 |
| WA | LABOR & INDUSTRIES | 0157424 | 01 |
| WA | RAILROAD MEDICARE | P00021492 | 01 |
| WA | REGENCE OF IDAHO | 000010147569 | 01 |
| Street Address |
5625 N WALL ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99205-6435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205170222 | Raelynn Elizabeth Russell | Chiropractor | 5625 N Wall St, Spokane, WA 99205-6435 | 2012-11-15 |
| 1760779821 | Vera G Altukhov | Specialist | 5625 N Wall St, Spokane, WA 99205-6435 | 2011-07-08 |
| 1285859298 | Scott Chiropractic Center Inc | Chiropractor | 5625 N Wall St, Spokane, WA 99205-6435 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275027740 | Jill Sanders | Behavior Technician | 1104 West Wellesley, Spokane, Wa, United States, Ste D, Spokane, WA 99205 | 2018-06-19 |
| 1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
| 1992156749 | Dane Sultzer | Optometrist | 1123 W Fairview Ave, Spokane, WA 99205 | 2016-06-23 |
| 1770975864 | Trevor George | Naturopath | 3710 N Monroe, Spokane, WA 99205 | 2015-02-26 |
| 1003246661 | Rita Y Flanagan | Psychologist | 4815 N Assembly St, Room B256, Spokane Va Medical Center, Spokane, WA 99205 | 2013-11-19 |
| 1649616277 | Mary Anyango Okello | Nurse's Aide | 3614 W. Wellesley Ave, Spokane, WA 99205 | 2013-05-22 |
| 1710242367 | Amy Clement | Dentist | 4815 N Assembly St., Spokane, WA 99205 | 2012-07-10 |
| 1114202082 | Teresa J Stella | Pharmacist | 3919 N. Maple St., Spokane, WA 99205 | 2011-10-11 |
| 1184905218 | James Anthony Carnell | Dentist | 4610 N. Ash St., (suite 204), Spokane, WA 99205 | 2011-09-02 |
| 1508150632 | Jennifer Leigh Knuston | Social Worker | 207 W Nora Ave, Spokane, WA 99205 | 2011-06-06 |
| Find all providers in zip 99205 | ||||
| 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 |
|---|---|---|---|---|
| 1891293841 | Jalana Lee White | Chiropractor | 2714 W Grace Ave, Spokane, WA 99205-3847 | 2018-01-24 |
| 1659823987 | Laura Lenoue | Chiropractor | 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 | 2016-11-03 |
| 1043652787 | White and Associates LLC | Chiropractor | 2503 E 27th Ave, Spokane, WA 99223-4908 | 2013-07-23 |
| 1447598644 | Mitchell Family and Sports Chiropractic LLC | Chiropractor | 101 E Hastings Rd Ste F, Spokane, WA 99218-4901 | 2013-01-22 |
| 1922350321 | Jared Lane Wilson | Chiropractor | 8611 N Division St Ste A, Spokane, WA 99208-5946 | 2012-10-09 |
| 1073891891 | Andrew Peter Glanville | Chiropractor | 4411 E Vantage Ln, Spokane, WA 99217-6511 | 2011-07-27 |
| 1841591310 | Travis Craig Romney | Chiropractor | 1403 S Grand Blvd., Suite 101s, Spokane, WA 99203 | 2010-11-15 |
| 1083842397 | 180 Chiropractic Wellness Center, LLC | Chiropractor | 111 W North River Dr, Suite 202, Spokane, WA 99201-3204 | 2009-06-25 |
| 1124267943 | Art and Science Chiropractic Center | Chiropractor | 8606 N Wall St, Spokane, WA 99218-2034 | 2009-02-18 |
| 1972758498 | Kyle James West | Chiropractor | 705 W 2nd Ave, Spokane, WA 99201-4412 | 2008-11-25 |
| Find all providers in SPOKANE | ||||
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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.