DR. JESSE DANIEL POLITOWSKI (NPI# 1144656448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144656448 |
| Entity Type | Individual |
| Full Name | DR. JESSE DANIEL POLITOWSKI |
| Credential | D.C. |
| Practice Address |
8005 Mackenzie Road Affton MO 63123-3518 |
| Practice Telephone | 3143534500 |
| Mailing Telephone | 3143534500 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2020-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2013033420 | MO | Chiropractic Providers |
| Street Address |
8005 MACKENZIE ROAD |
| City | AFFTON |
| State | MO |
| Zip Code | 63123-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002610 | Peter Brown | Home Health Aide | 9530 Antigo Dr, St Louis, MO 63123 | 2017-09-12 |
| 1346629748 | Emily Murray | Community/Behavioral Health | 7556 Genesta Street, Saint Louis, MO 63123 | 2015-05-19 |
| 1730566183 | Family Home & Health Care Services | Home Health | 9124 Lemona Drive, Saint Louis, MO 63123 | 2015-05-05 |
| 1114319092 | Kathi Wallace | Counselor | 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 | 2015-03-02 |
| 1982981098 | Robert Arthur Bilzing | Pharmacist | 9949 Tesson Ferry Rd, St. Louis, MO 63123 | 2011-11-03 |
| 1760767198 | Valentina Jovic | Pharmacist | 5764 South Lindbergh Blvd, St. Louis, MO 63123 | 2011-10-17 |
| 1033423504 | Margaret L Shields Inc | Podiatrist | 11132 South Towne Square, Ste 105, St Louis, MO 63123 | 2010-07-27 |
| 1083858336 | John David Bouhasin | Pediatrics | 7629 Bracken Circle, St. Louis, MO 63123 | 2009-04-29 |
| 1326288929 | Erica J Fahrner | Occupational Therapist | 6022 S. Lindbergh, Suite 100, Saint Louis, MO 63123 | 2009-02-23 |
| 1629248158 | Maria Ramona Eppler | Nurse Practitioner | 4217 Bayless Ave., St. Louis, MO 63123 | 2008-03-12 |
| Find all providers in zip 63123 | ||||
| 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 |
|---|---|---|---|---|
| 1447389119 | Gregory Wade Edstrom | Chiropractor | 5714 S Lindbergh Blvd, #7, Affton, MO 63123-6955 | 2007-03-05 |
| 1619053907 | Duy Duc Nguyen | Chiropractor | 4348 Schmittwoods Ct, Affton, MO 63123-6731 | 2006-10-28 |
| 1225449937 | Derrick Nohl | Chiropractor | 8005 Mackenzie Rd, Affton, MO 63123-3518 | 2014-05-15 |
| 1932523131 | Sweeney Wellness LLC | Chiropractor | 8005 Mackenzie Rd, Affton, MO 63123-3518 | 2014-02-07 |
| 1629499728 | J Pol Wellness LLC | Chiropractor | 8005 Mackenzie Rd, Affton, MO 63123-3518 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730466 | Inline Chiropractic Center, LLC | Chiropractor | 244 W Mill St Ste 105, Liberty, MO 64068-2398 | 2020-11-04 |
| 1275133084 | Madison Huot | Chiropractor | 196 Hwy 100, Hermann, MO 65041 | 2020-10-30 |
| 1720688476 | Damien Sampson | Chiropractor | 1023 Main Plaza Dr Apt L, Wentzville, MO 63385-1170 | 2020-10-30 |
| 1184224495 | Michael Lentz | Chiropractor | 106 W Old Mill Rd, Fair Grove, MO 65648-8646 | 2020-10-27 |
| 1396344958 | Noah Adam Aldridge | Chiropractor | 2745 High Ridge Blvd Ste 5b, High Ridge, MO 63049-2200 | 2020-10-23 |
| 1982201455 | Maran Alexandra Tennis | Chiropractor | 211 Nw Executive Way Ste C, Lees Summit, MO 64063-1846 | 2020-10-07 |
| 1891392817 | Mason Coffman | Chiropractor | 101 N Lyon St, Butler, MO 64730-2131 | 2020-10-02 |
| 1255947230 | Matthew Mcpeak | Chiropractor | 4200 N Cloverleaf Dr Ste M, Saint Peters, MO 63376-6436 | 2020-09-16 |
| 1578179412 | James Crawford | Chiropractor | 2144 E Republic Rd Ste A104, Springfield, MO 65804-4645 | 2020-09-16 |
| 1780299164 | Michelle Marie Brungart | Chiropractor | 12201 Big Bend Rd Ste 200, Kirkwood, MO 63122-6831 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
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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.