DR. ANDREW M KULICK (NPI# 1154487734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154487734 |
| Entity Type | Individual |
| Full Name | DR. ANDREW M KULICK |
| Other Name | MR. RANDY JACOBS |
| Credential | D.C. |
| Practice Address |
176 Broadway Somerville MA 02145-3129 |
| Mailing Address |
48 Howard St Waltham MA 02451-4318 |
| Practice Telephone | 6177767576 |
| Practice Fax Number | 6178255006 |
| Mailing Telephone | 7812097241 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
1575 | MA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740240266 | Andrew Theron Kulick | Dentist | 261 Us Highway 27 N, Sebring, FL 33870-2146 | 2006-03-27 |
| Street Address |
176 BROADWAY |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02145-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699820852 | Dark Horse, Incor. | Chiropractor | 176 Broadway, Somerville, MA 02145-3129 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497230684 | Marisa Katherine Glynn | Psychologist | 35 Edgar Avenue, Somerville, MA 02145 | 2018-10-03 |
| 1811478274 | Rolanda Santos Prophete | Counselor | 18 Sargent Ave, Somerville, MA 02145 | 2018-08-23 |
| 1619465101 | Shannon Comer | Registered Nurse | 64 Sycamore St Apartment 1, Somerville, MA 02145 | 2018-04-30 |
| 1184121261 | Deborah Camara | Social Worker | 89 Cross Street, Apt 1, Somerville, MA 02145 | 2018-04-06 |
| 1073047569 | Nicole Patzelt | Dermatology | 192a School St Apt 2, Somerville, MA 02145 | 2017-04-12 |
| 1316327018 | Christina Gasbarro | Family Medicine | Cha Assembly Square Care Center, 5 Middlesex Avenue, Somerville, MA 02145 | 2015-06-08 |
| 1902236359 | Prativa Bhatta | Counselor | 76 Cross St, Somerville, MA 02145 | 2013-11-21 |
| 1427497015 | Veronica Wu | Physician Assistant | 60 Clyde Street, #5, Somerville, MA 02145 | 2013-06-18 |
| 1790045797 | Cambridge Health Alliance | Rehabilitation Unit | 2 Middlesex Avenue, Somerville, MA 02145 | 2012-05-23 |
| 1871809665 | Lauren Holland | Occupational Therapist | 5 Middlesex Avenue, Somerville, MA 02145 | 2010-08-31 |
| Find all providers in zip 02145 | ||||
| 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 |
|---|---|---|---|---|
| 1992753388 | Helena M. Dehamer-grant | Chiropractor | 259 Elm St, Suite 300, Somerville, MA 02144-2950 | 2006-05-05 |
| 1851332340 | Kenneth M Kearstan | Chiropractor | 373 E Main St, Suite 10, Somerville, NJ 08876-3143 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265940886 | Greater Boston Performance Care, Inc. | Chiropractor | 200 Providence Hwy Ste 206, Dedham, MA 02026-1881 | 2018-01-17 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1366832131 | Berk Chiropractic and Sports Care PC | Chiropractor | 234 Russell St Ste 201, Hadley, MA 01035-3534 | 2015-01-30 |
| 1285076786 | Cedar Chiropractic & Sports P.C. | Chiropractor | 77 W Main St Ste 205, Hopkinton, MA 01748-1663 | 2013-07-24 |
| 1467760629 | Christopher John Murphy | Chiropractor | 116 Farms Dr, Burlington, MA 01803-3700 | 2010-09-21 |
| 1962671453 | Lifeforce Health Center | Chiropractor | 1420 Providence Hwy, Suite 115, Norwood, MA 02062-4662 | 2008-02-28 |
| 1265653612 | Michael Joseph Dimauro | Chiropractor | 283 S Broadway, Lawrence, MA 01843-2631 | 2007-05-02 |
| 1922136456 | William H Taylor | Chiropractor | 29 Lewis Bay Rd, Hyannis, MA 02601-5207 | 2007-02-28 |
| 1477699841 | Dr. Angelo Giolekas | Chiropractor | 617 Chandler St, Worcester, MA 01602-1753 | 2007-01-30 |
| 1730231481 | Jeanne Marie Bartram | Chiropractor | 18 Union St, Beverly, MA 01915-5102 | 2007-01-16 |
| Find all providers with the same taxonomy | ||||
| City | SOMERVILLE |
| Zip Code | 02145 |
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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.