DR. WALLACE JOHN QUINLAN (NPI# 1124183884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124183884 |
| Entity Type | Individual |
| Full Name | DR. WALLACE JOHN QUINLAN |
| Credential | D.C. |
| Practice Address |
7301 Hasbrook Ave Philadelphia PA 19111-3003 |
| Practice Telephone | 2157227200 |
| Mailing Telephone | 2157227200 |
| Enumeration Date | 2006-12-23 |
| 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 |
DC001201L | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0061076000 | 05 |
| Street Address |
7301 HASBROOK AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| 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 |
|---|---|---|---|---|
| 1538216775 | Duncan Chiropractic Wellness and Sports | Chiropractor | 9301 Frankford Avenue, Philadelphia, PA 19114-1010 | 2007-01-03 |
| 1871521641 | Joseph Camilli | Chiropractor | 2326 S 12th St, Philadelphia, PA 19148-3540 | 2006-06-29 |
| 1588627798 | Leonard J. Roberts | Chiropractor | 8151 Ridge Ave, Philadelphia, PA 19128-2902 | 2006-04-10 |
| 1609848837 | Maureen T Hannigan | Chiropractor | 601 Dupont St, Philadelphia, PA 19128-2615 | 2006-02-02 |
| 1497746572 | Catherine Meghan Duncan | Chiropractor | 9301 Frankford Ave., Philadelphia, PA 19114-1010 | 2005-10-28 |
| 1083721666 | Camilli Chiropractic | Chiropractor | 2326 S 12th St, Philadelphia, PA 19148-3540 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245693019 | Pittsburgh Chiropractic and Massage Therapy Center | Chiropractor | 436 7th Ave, Suite 180, Pittsburgh, PA 15219-1826 | 2016-03-30 |
| 1376939058 | Vanina Chiropractic LLC | Chiropractor | 25 E Cherry Ln, Royersford, PA 19468-1305 | 2015-04-09 |
| 1134523947 | Dlbb, LLC | Chiropractor | 500 Horizon Dr Ste 505, Chalfont, PA 18914-3962 | 2014-10-22 |
| 1518206457 | Decarlo Enterprises LLC | Chiropractor | 829 Second Street Pike, Bldg. B, Richboro, PA 18954-1067 | 2013-02-13 |
| 1942554399 | Jamison Chiropractic Corporation PC | Chiropractor | 1703 Almshouse Rd, Jamison, PA 18929-1002 | 2012-11-07 |
| 1427353796 | John Michael Giacalone | Chiropractor | 6991 Route 611, Stroudsburg, PA 18360-9266 | 2011-01-18 |
| 1265750665 | Dr Carl Gaudio Dc LLC | Chiropractor | 343 E Maiden St, Washington, PA 15301-5107 | 2010-05-10 |
| 1205160694 | Weaver Chiropractic Center, LLC | Chiropractor | 83 Bangor Junction Rd, Bangor, PA 18013-9314 | 2009-10-01 |
| 1598906703 | Treichler Spine & Rehabilitation, Inc | Chiropractor | 1174 Shoreham Rd, Camp Hill, PA 17011-6135 | 2009-03-18 |
| 1861630055 | Donald J Vanboskirk | Chiropractor | 1105 Bridge St Fl 1, New Cumberland, PA 17070-1634 | 2009-01-27 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
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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.