MICHAEL J VANNATTA (NPI# 1225001506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225001506 |
| Entity Type | Individual |
| Full Name | MICHAEL J VANNATTA |
| Credential | D.C. |
| Practice Address |
2514 24th St Rock Island IL 61201-5304 |
| Practice Telephone | 3097862200 |
| Practice Fax Number | 3097883638 |
| Mailing Telephone | 3097862200 |
| Mailing Fax Number | 3097883638 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2014-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038005397 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 651035 | 01 | |
| IA | 0994608 | 05 | |
| IA | BLUE CROSS/BLUE SHIELD | 90782 | 01 |
| IL | BLUE CROSS/BLUE SHIELD | 0008182068 | 01 |
| IL | 038005397 | 05 | |
| MIDLAND CHOICE | 239923 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497982797 | Michael Vannatta | Physical Therapist | 135 Prospect Loop, Bozeman, MT 59718-5985 | 2009-06-15 |
| 1124035357 | Michael David Vannatta | Family Medicine | 1202 W Howard St, Knoxville, IA 50138-3103 | 2006-08-01 |
| Street Address |
2514 24TH ST |
| City | ROCK ISLAND |
| State | IL |
| Zip Code | 61201-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811969413 | Thomas A Brozovich | Chiropractor | 2514 24th St, Rock Island, IL 61201-5304 | 2006-02-07 |
| 1003258211 | Mark Robert Doerrfeld | Naturopath | 2514 24th St, Rock Island, IL 61201-5304 | 2013-07-29 |
| 1013215771 | Thomas A Brozovich Dc PC | Chiropractor | 2514 24th St, Rock Island, IL 61201-5304 | 2011-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206245 | Judy Kay Moore | Technician | 2439 8th Ave, Rock Island, IL 61201 | 2020-02-11 |
| 1053956862 | Christina Beam | Counselor | 1413 40th Street, Rock Island, IL 61201 | 2019-11-15 |
| 1356843817 | Stephanie Kaye Jones | Counselor | 2701 17th St., Rock Island, IL 61201 | 2018-03-01 |
| 1073062030 | Innovative Transport Enterprise, LLC | Non-emergency Medical Transport (VAN) | 2239 24th Street Apt 15c, Rock Island, IL 61201 | 2016-09-30 |
| 1124575733 | Robert Young Center | Community Based Residential Treatment Facility, Mental Illness | 2701 - 17 Street, Rockisland, IL 61201 | 2016-09-01 |
| 1538520903 | James Keith Frainey | Psychologist | 805 19th Street, Transitions Mhs, Rock Island, IL 61201 | 2016-03-14 |
| 1417340837 | Brandon Lee Sachwitz | Physician Assistant | 2701 17th Street, Trinity Medical Center, Rock Island, IL 61201 | 2015-03-10 |
| 1215366679 | Kimberly Lyall | Physical Therapy Assistant | 767 30th Street, Rock Island, IL 61201 | 2013-11-06 |
| 1386080745 | The Abbey Center, LLC | Clinic/Center | 3031 5th Ave., Rock Island, IL 61201 | 2013-05-13 |
| 1487097382 | Joe Lee Westerhof | Veterinarian | 2529 11th St, Rock Island, IL 61201 | 2013-04-10 |
| Find all providers in zip 61201 | ||||
| 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 |
|---|---|---|---|---|
| 1598219982 | Ann Colby-wren | Chiropractor | 740 22nd St, Rock Island, IL 61201-2613 | 2016-08-15 |
| 1851620728 | Community Chiropractic Clinic Sc | Chiropractor | 2508 25th St Ste C, Rock Island, IL 61201-5419 | 2009-12-23 |
| 1235376294 | Expressions of Life Chiropractic Studio | Chiropractor | 1614 2nd Ave, Rock Island, IL 61201-8603 | 2009-01-13 |
| 1558550640 | Chiro Fitness Xtreme Ltd | Chiropractor | 4014 Blackhawk Road, Rock Island, IL 61201 | 2007-10-15 |
| 1548457526 | Richard Stavros Mento | Chiropractor | 1770 44th St, Rock Island, IL 61201-3916 | 2007-10-03 |
| 1972721249 | Paul Quang Nguyen | Chiropractor | 3724 46th Ave, Rock Island, IL 61201-7047 | 2007-04-23 |
| 1184784894 | Harmony Chiropractic Arts Inc | Chiropractor | 1770 44th Street, Rock Island, IL 61201-3916 | 2006-12-11 |
| 1770674244 | Timothy Arden Brien | Chiropractor | 4510 7th Ave, Rock Island, IL 61201-2260 | 2006-09-27 |
| 1841394962 | Healthy Life Chiropractic PC | Chiropractor | 2525 24th St, Ste 204, Rock Island, IL 61201 | 2006-09-11 |
| 1386759728 | Randall Hurt | Chiropractor | 4343 18th Ave, Rock Island, IL 61201-3907 | 2006-08-19 |
| Find all providers in ROCK ISLAND | ||||
| City | ROCK ISLAND |
| Zip Code | 61201 |
Please comment or provide details below to improve the information on MICHAEL J VANNATTA.
| 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.