KENDALL DAVID HARTZOG (NPI# 1134110869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134110869 |
| Entity Type | Individual |
| Full Name | KENDALL DAVID HARTZOG |
| Credential | D.C. |
| Practice Address |
404b East Martintown Road North Augusta SC 29841 |
| Practice Telephone | 8032792729 |
| Practice Fax Number | 8032792720 |
| Mailing Telephone | 8032792729 |
| Mailing Fax Number | 8032792720 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2012-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2729 | SC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CH2729 | 05 |
| Street Address |
404B EAST MARTINTOWN ROAD |
| City | NORTH AUGUSTA |
| State | SC |
| Zip Code | 29841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238685 | Essential Health & Wellness | Nurse Practitioner | 616 Edgefield Rd Unit 170, North Augusta, SC 29841 | 2020-09-02 |
| 1316476898 | Tanya Marletta Thompson | Counselor | 125 Thompson Ave, North Augusta, SC 29841 | 2017-06-08 |
| 1427587708 | Lashonda Devona Johnson | Nurse's Aide | 310 Edgefield Road, North Augusta, SC 29841 | 2017-06-08 |
| 1760916092 | Michael Cory Hall | Dentist | 503 W Martintown Road, North Augusta, SC 29841 | 2017-04-13 |
| 1730626508 | Michael Anthony Posada | Nurse Practitioner | 325 Georgia Ave, North Augusta, SC 29841 | 2017-01-31 |
| 1023497054 | High Praise Hair Boutique | Specialist | 139 Edgewood Drive, North Augusta, SC 29841 | 2015-05-22 |
| 1861897159 | Veterans Transportation | Ambulance | 121 E. Marion Ave., North Augusta, SC 29841 | 2014-10-29 |
| 1700216173 | Brooke Elizabeth Farmer | Licensed Practical Nurse | 2218 Vireo Drive, North Augusta, SC 29841 | 2013-11-20 |
| 1912344953 | Pamelia C Hiott | Registered Nurse | 2000 Knobcone Avenue, North Augusta, SC 29841 | 2013-05-31 |
| 1275798936 | Doctors Hospital North Augusta Imaging Center LLC | Clinic/Center | 105 Hugh Street, Suite A, North Augusta, SC 29841 | 2008-07-22 |
| Find all providers in zip 29841 | ||||
| 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 |
|---|---|---|---|---|
| 1831722669 | Maria Rivas Stone | Chiropractor | 505a W Martintown Rd, North Augusta, SC 29841-3108 | 2020-02-20 |
| 1255648408 | Christopher George Mullane | Chiropractor | 1810 Knox Ave Ste B, North Augusta, SC 29841-2903 | 2010-09-09 |
| 1649415399 | North Augusta Chiropractic | Chiropractor | 404b E Martintown Rd, North Augusta, SC 29841-4250 | 2008-12-10 |
| 1124034954 | Brantley Chiropractic, PC | Chiropractor | 420 West Ave, North Augusta, SC 29841-3620 | 2006-08-01 |
| 1164452926 | Degraaf Chiropractic Clinic PC | Chiropractor | 244 Edgefield Rd, North Augusta, SC 29841-2486 | 2006-07-04 |
| 1679500524 | Herman Toby Warren | Chiropractor | 1519 Summer Hill Rd, North Augusta, SC 29841 | 2006-06-27 |
| 1467085209 | Cornerstone Family Chiropractic | Chiropractor | 505a W Martintown Rd, North Augusta, SC 29841-3108 | 2020-02-20 |
| 1518590348 | Greg Stone | Chiropractor | 505a W Martintown Rd, North Augusta, SC 29841-3108 | 2020-02-20 |
| 1144707464 | Robyn Hawkins | Chiropractor | 420 West Ave, North Augusta, SC 29841-3620 | 2018-07-20 |
| 1598178709 | North Augusta Chiropractic, LLC | Chiropractor | 1810 Knox Ave Ste B, North Augusta, SC 29841-2903 | 2014-06-05 |
| Find all providers in NORTH AUGUSTA | ||||
| City | NORTH AUGUSTA |
| Zip Code | 29841 |
Please comment or provide details below to improve the information on KENDALL DAVID HARTZOG.
| 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.