TARA BROOKE CENTRA (NPI# 1194132373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194132373 |
| Entity Type | Individual |
| Full Name | TARA BROOKE CENTRA |
| Other Name | TARA BROOKE DEAN |
| Practice Address |
105 E Main St Reynoldsville PA 15851-1244 |
| Practice Telephone | 8146539514 |
| Practice Fax Number | 8146538842 |
| Mailing Telephone | 8146539514 |
| Mailing Fax Number | 8146538842 |
| Enumeration Date | 2014-07-19 |
| Last Update Date | 2015-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC010900 | PA | Chiropractic Providers |
| Street Address |
105 E MAIN ST |
| City | REYNOLDSVILLE |
| State | PA |
| Zip Code | 15851-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508852088 | Randy William Mccall | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2005-09-21 |
| 1891324596 | Tyler William Dombrowski | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2020-04-04 |
| 1639648116 | Corey A Bookhamer | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2018-11-14 |
| 1891104196 | Reynoldsville Chiropractic Life Center, LLC | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2014-08-12 |
| 1588071765 | Nicholas Angelo Centra | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2014-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659342293 | Samuel L Earley | Dentist | 522 E Main Street, Reynoldsville, PA 15851 | 2006-01-31 |
| 1962554410 | Barry Alexander Marks | Pharmacist | 419 Main St, Reynoldsville, PA 15851 | 2007-01-17 |
| 1427455914 | Jefferson County Area Agency On Aging | Case Management | 186 Main St, Brookville, PA 15851-0806 | 2014-11-26 |
| 1962465427 | Shalva V Kakabadze | Family Medicine | 5 N 3rd St, Reynoldsville, PA 15851-0907 | 2006-04-07 |
| 1982799656 | Sharon Gilmore | Nurse Practitioner | 5 N 3rd St, Reynoldsville, PA 15851-0907 | 2006-10-04 |
| 1720095045 | Alyssa Hannah | Physician Assistant | 5 N 3rd St, Reynoldsville, PA 15851-0907 | 2006-08-01 |
| 1396117370 | Merrilee Anto | Occupational Therapy Assistant | 115 Brown St, Reynoldsville, PA 15851-1015 | 2015-10-29 |
| 1417979253 | Dubois Regional Medical Center | Family Medicine | 5 N 3rd St, Suite 1, Reynoldsville, PA 15851-1231 | 2006-07-24 |
| 1881614204 | Dubois Regional Medical Center | Family Medicine | 5 N 3rd St, Reynoldsville, PA 15851-1231 | 2006-07-20 |
| 1750364733 | Reynoldsville Area Ambulance Service Inc | Ambulance | 203 E Main St, Reynoldsville, PA 15851-1246 | 2005-11-23 |
| Find all providers in zip 15851 | ||||
| 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 |
|---|---|---|---|---|
| 1508852088 | Randy William Mccall | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2005-09-21 |
| 1891324596 | Tyler William Dombrowski | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2020-04-04 |
| 1639648116 | Corey A Bookhamer | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2018-11-14 |
| 1891104196 | Reynoldsville Chiropractic Life Center, LLC | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2014-08-12 |
| 1588071765 | Nicholas Angelo Centra | Chiropractor | 105 E Main St, Reynoldsville, PA 15851-1244 | 2014-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609171 | Richard Mark Schoonmaker Jr. | Chiropractor | 161 Dowlin Forge Rd, Exton, PA 19341-1550 | 2020-11-04 |
| 1568062198 | Chandler Carey | Chiropractor | 737 Good Rd, Airville, PA 17302-9467 | 2020-11-01 |
| 1124628540 | Citywide North, PC | Chiropractor | 2304-a North Broad Street, Philadelphia, PA 19132-4563 | 2020-10-26 |
| 1467051094 | Orne K. Bey Jr. | Chiropractor | 1525 Park Manor Blvd # 273, Pittsburgh, PA 15205-4805 | 2020-10-24 |
| 1285232421 | Hevner Chiropractic Center, LLC | Chiropractor | 79 E Main St Ste 205, Lititz, PA 17543-1941 | 2020-10-10 |
| 1063029718 | Power Forward Chiropractic LLC | Chiropractor | 138 W Whitehall Rd, State College, PA 16801-5931 | 2020-09-27 |
| 1043826266 | Optimal Health and Performance | Chiropractor | 7039 W Chester Pike, Upper Darby, PA 19082-1705 | 2020-09-22 |
| 1396351698 | Comforting Hands Chiropractic LLC | Chiropractor | 1151 Cornwall Rd Ste 5, Lebanon, PA 17042-7233 | 2020-09-22 |
| 1790396398 | Comunale Chiropractic LLC | Chiropractor | 14 Mount Bethel Plz, Mount Bethel, PA 18343-5212 | 2020-08-17 |
| 1780292755 | Physicians Medical Weight Loss, LLC | Chiropractor | 163 N Commerce Way, Bethlehem, PA 18017-8933 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
| City | REYNOLDSVILLE |
| Zip Code | 15851 |
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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.