JOHN STEVE VICK (NPI# 1235135617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235135617 |
| Entity Type | Individual |
| Full Name | JOHN STEVE VICK |
| Credential | DC |
| Practice Address |
916 Talon Dr Ste 102 O Fallon IL 62269-1848 |
| Practice Telephone | 6186288211 |
| Practice Fax Number | 6186280883 |
| Mailing Telephone | 6186288211 |
| Mailing Fax Number | 6186280883 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HEALTHLINK | 229688 | 01 |
| IL | AETNA | 5148141 | 01 |
| IL | MEDICARE RR | P00107451 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033137666 | John C Vick | Family Medicine | 1106 Reynolds St, Suite 100, Monroe, NC 28112-4376 | 2006-07-18 |
| Street Address |
916 TALON DR STE 102 |
| City | O FALLON |
| State | IL |
| Zip Code | 62269-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377325 | Collin Magilligan | Nurse Practitioner | 916 Talon Dr, O Fallon, IL 62269-1848 | 2019-07-09 |
| 1972057420 | Elsa K Raymond | Nurse Practitioner | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2016-08-12 |
| 1225495286 | Kristen Lyn Pitts | Physical Therapist | 916 Talon Dr, O Fallon, IL 62269-1848 | 2016-01-21 |
| 1770949125 | Patricia J Relleke | Nurse Practitioner | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2016-01-14 |
| 1376938225 | Apg Medical Laboratory | Clinical Medical Laboratory | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2015-03-30 |
| 1407279623 | Associated Physicians Group | Chiropractor | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2014-01-23 |
| 1285064329 | Dme Edge LLC | Durable Medical Equipment & Medical Supplies | 916 Talon Dr, Suite B, O Fallon, IL 62269-1848 | 2013-11-26 |
| 1881979623 | Maria Louise Cunningham | Physical Medicine & Rehabilitation | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2011-10-12 |
| 1043446008 | Ralph Douglas Spafford | Physician Assistant | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2009-06-04 |
| 1104071067 | Jessica Ann Zimmerman | Physical Therapist | 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848 | 2008-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| 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 |
|---|---|---|---|---|
| 1003473950 | Daniel Thomas Spitler II | Chiropractor | 1246 Bryan Rd, O Fallon, MO 63366-3771 | 2019-05-28 |
| 1992203491 | Brandon Michael Daniels | Chiropractor | 734 Cambridge Blvd # 100, O Fallon, IL 62269-1964 | 2018-01-30 |
| 1144738022 | Margaret Stupakewicz | Chiropractor | 199 Frontier Park Dr, O Fallon, MO 63366-3963 | 2018-01-13 |
| 1003326075 | Keim Family Chiropractic LLC | Chiropractor | 804 W Highway 50 Ste 210, O Fallon, IL 62269-1827 | 2017-10-04 |
| 1073033452 | Bone & Joint Chiropractic Center LLC | Chiropractor | 2917 Highway K Ste F, O Fallon, MO 63368-7879 | 2017-06-26 |
| 1356894273 | Bradley Agan | Chiropractor | 1297 Bryan Rd, O Fallon, MO 63366-3729 | 2016-07-27 |
| 1588023956 | Price-bourisaw Family Chiropractic | Chiropractor | 2917 State Highway K, O Fallon, MO 63368 | 2016-02-15 |
| 1164801353 | John Mischel | Chiropractor | 1411 W Highway 50 Ste 103, O Fallon, IL 62269-1683 | 2015-05-21 |
| 1982012555 | Laura Mcateer Dc LLC | Chiropractor | 7287 Watsons Parish Dr, O Fallon, MO 63368-8151 | 2014-07-28 |
| 1518384163 | Edmistone Acupuncture & Chiropractic | Chiropractor | 1317 W Highway 50, O Fallon, IL 62269-1616 | 2014-03-20 |
| Find all providers in O FALLON | ||||
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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.