DR. JARED KYLE SURBAUGH (NPI# 1215166574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215166574 |
| Entity Type | Individual |
| Full Name | DR. JARED KYLE SURBAUGH |
| Credential | D.C. |
| Practice Address |
705 Greenbag Rd Morgantown WV 26508-1589 |
| Practice Telephone | 3042922211 |
| Practice Fax Number | 3042922282 |
| Mailing Telephone | 3042922211 |
| Mailing Fax Number | 3042922282 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2013-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 904 | WV | Chiropractic Providers |
| Street Address |
705 GREENBAG RD |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26508-1589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477593234 | Robert Stuart Acciavatti | Physical Therapist | 705 Greenbag Rd, Morgantown, WV 26508-1589 | 2006-06-08 |
| 1801243084 | The Chiropractic Care Center of Morgantown | Clinic/Center | 705 Greenbag Rd, Morgantown, WV 26508-1589 | 2016-05-18 |
| 1851716252 | Advance Physical Therapy Specialists | Physical Therapist | 705 Greenbag Rd, Morgantown, WV 26508-1589 | 2014-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989026 | Ruth Gibson | Technician | 4 Elpaso Ave, Morgantown, WV 26508 | 2020-10-09 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| 1396356283 | Jessica Dawn Taylor | Technician | Lot 128 Healthy Heights Village, Morgantown, WV 26508 | 2020-08-13 |
| 1992297733 | Jeffrey G Minchau Dds Ms | Dentist | 9000 Coombs Farm Dr, Ste 304, Morgantown, WV 26508 | 2018-06-06 |
| 1346796257 | Gregory Ice | Social Worker | 1627 Grafton Rd, Morgantown, WV 26508 | 2016-08-31 |
| 1306242540 | Mountaineer Psychological Services | Community/Behavioral Health | 4000 Coombs Farm Drive, Bldg D Unit 102, Morgantown, WV 26508 | 2014-11-17 |
| 1750722906 | Tingler Rx | Pharmacy | 889 Venture Drive, Suite 2, Morgantown, WV 26508 | 2013-07-16 |
| 1881033983 | Amy Rodgers Smith | Music Therapist | 714 Venture Drive #115, Morgantown, WV 26508 | 2013-06-21 |
| 1013250588 | Walid Radwan | Student in an Organized Health Care Education/Training Program | 1121 Eagle Run Road, Morgantown, WV 26508 | 2013-04-02 |
| 1467727040 | Sara Lyndsey Disimone | Counselor | 3000 Coombs Farm Road, Suite 102, Morgantown, WV 26508 | 2012-03-15 |
| Find all providers in zip 26508 | ||||
| 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 |
|---|---|---|---|---|
| 1538560123 | Joseph Ryan Jackson | Chiropractor | 1043 Brownsville Rd, Morgantown, KY 42261-7011 | 2014-09-15 |
| 1568797959 | Vicky Ann Lease | Chiropractor | 1116 S Main St, Suite 1, Morgantown, KY 42261-9409 | 2009-10-02 |
| 1811220056 | Rachel Glass | Chiropractor | 1365 Morgantown Rd, Morgantown, PA 19543-9500 | 2009-09-04 |
| 1376773762 | Benjamin Leon Clyde | Chiropractor | 3025 Main Street, Suite 1, Morgantown, PA 19543-7754 | 2009-07-20 |
| 1508039801 | Bartle Chiropractic Clinic Pa | Chiropractor | 621 S Green St Suite 100, Bartle Chiropractic Clinic Pa, Morgantown, NC 28655 | 2008-04-08 |
| 1497971980 | Christine Marie Hornsby | Chiropractor | 623 Cheat Rd, Morgantown, WV 26508-4140 | 2007-04-17 |
| 1851415954 | Guthrie Family Chiropractic Pllc | Chiropractor | 526 Ashebrooke Sq, Morgantown, WV 26508-4465 | 2007-03-16 |
| 1821143579 | Vincent Chiropractic, Pllc | Chiropractor | 105 N. Tyler St, Morgantown, KY 42261 | 2007-01-24 |
| 1043388747 | Morgantown Chiropractic & Diagnostic Center | Chiropractor | 150 Moreview Blvd, 2nd Floor Martins Market, Morgantown, PA 19543-9100 | 2006-12-01 |
| 1932275450 | Bryan Coombs | Chiropractor | 55 Don Knotts Blvd Suite 4, Morgantown, WV 26508-6805 | 2006-11-27 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26508 |
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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.