DR. JOHN MICHAEL BLALOCK


Address: 4615 Hampton Ave., St. Louis, MO 63109-2715
Phone: 3148323300

DR. JOHN MICHAEL BLALOCK (NPI# 1184755142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184755142
Entity Type Individual
Full Name DR. JOHN MICHAEL BLALOCK
Credential D.C.
Practice Address 4615 Hampton Ave.
St. Louis
MO 63109-2715
Mailing Address 4615 Hampton Ave.
St. Louis
MO 63109
Practice Telephone 3148323300
Practice Fax Number 3148320809
Mailing Telephone 3148323300
Mailing Fax Number 3148320809
Enumeration Date 2007-03-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 1309 MO Chiropractic Providers

Other Providers JOHN BLALOCK

NPI Name Taxonomy Address Enumeration
1003862731 John S. Blalock Dentist 3606 Wheeler Rd., Augusta, GA 30909 2006-05-25
1679963185 John Waylan Blalock Chiropractor 523 Main St, El Segundo, CA 90245-3006 2015-02-04
1063685352 John B Blalock Jr. Surgery 541 Sunset Ln Ste 103, Culpeper, VA 22701-3903 2008-04-08

Office Location

Street Address 4615 HAMPTON AVE.
City ST. LOUIS
State MO
Zip Code 63109-2715

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013431907 James Edward Trout Community Health Worker 3956 Wenzlick Ave, St Louis, MO 63109 2017-08-01
1750815023 Andrea Hyde Nurse Practitioner 5302 Chippewa Street, Suite 301, St Louis, MO 63109 2017-04-13
1215362124 Alex Sharifian Dds Francis Park Dentistry PC Dentist 6650 Chippewa Street, Saint Louis, MO 63109 2013-09-10
1881993962 Rachel Elizabeth Hale Hasper Counselor 6555 Chippewa, St Louis, MO 63109 2011-03-15
1730369885 Janis Marie Lampa Physical Therapist 5203 Chippewa, Suite 301, St. Louis, MO 63109 2007-11-06
1285753772 James Matthew Jordan Occupational Therapist 32 Hampton Village Plaza, St Louis, MO 63109 2007-03-28
1730224478 Mercy Health Services, LLC Optometrist 34 Hampton Village Plaza, St. Louis, MO 63109 2007-02-20
1801959903 John Thomas Doyle Dentist 5400 Walsh St, St Louis, MO 63109 2006-12-19
1649339771 Residencial Services Corporation Assisted Living Facility 5890 Eichelberger, St Louis, MO 63109 2006-12-06
1316039852 Gary Raymond Rieser Dentist 3915 Watson Road, Suite 205, Saint Louis, MO 63109 2006-09-29
Find all providers in zip 63109

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871063057 Clayton Pain Clinic, LLC Chiropractor 225 S Meramec #306, St. Louis, MO 63105-6310 2018-11-29
1568876456 Smart Pain Solutions Chiropractor 2431 North Grand Blvd., St. Louis, MO 63106-1018 2014-06-18
1871930032 Rachel Michele Gill Chiropractor 11d Worthington Access Dr., St. Louis, MO 63043 2013-05-29
1003133893 William Richard Humphrey II Chiropractor 5615 Pershing, Suite 22, St. Louis, MO 63112 2010-05-03
1396911350 Mitchell Eli Davis Chiropractor 4144 Lindell Blvd Ste 319, St. Louis, MO 63108-2953 2008-04-30
1295821783 Ronald Vincent Arconati Chiropractor 5684 Telegraph Road, St. Louis, MO 63129 2006-10-04
1629162235 Kevin Gerard Gentemann Chiropractor 10028 Manchester Rd, Suite 209, St. Louis, MO 63122 2006-10-03
1386737047 Eritrea Michael Tecletsion Chiropractor 5219 Delmar Blvd, St. Louis, MO 63108 2006-10-02
1477563823 Nofa Jane Shibley Chiropractor 625 N Euclid, #225, St. Louis, MO 63108 2006-08-08
1902163124 Devereux Chiropractic and Acupuncture LLC Chiropractor 4500 Telegraph Rd, Suite 104, St. Louis, MO 63129 2012-04-12
Find all providers in ST. LOUIS

Competitor

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City ST. LOUIS
Zip Code 63109

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Dataset Information

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.

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