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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1309 | MO | Chiropractic Providers |
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 |
Street Address |
4615 HAMPTON AVE. |
City | ST. LOUIS |
State | MO |
Zip Code | 63109-2715 |
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 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 |
---|---|---|---|---|
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 |
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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.