ADVANCED SPINE & SPORTS MEDICINE LLC (NPI# 1265474571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265474571 |
| Entity Type | Organization |
| Organization Name | ADVANCED SPINE & SPORTS MEDICINE LLC |
| Practice Address |
821 N Main Street Ext Suite 110 Wallingford CT 06492-2464 |
| Mailing Address |
26 Valley St Wallingford CT 06492-3542 |
| Practice Telephone | 2032657900 |
| Practice Fax Number | 2032657756 |
| Mailing Telephone | 2036315367 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | DR. KURT JAMES MARSCHNER (OWNER) |
| Authorized Official Telephone | 2032657900 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 001350 | CT | Chiropractic Providers |
| Street Address |
821 N MAIN STREET EXT SUITE 110 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-2464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053521419 | Wallingford Eye Care Center P.C. | Optometrist | 821 N Main Street Ext, Wallingford, CT 06492-2464 | 2007-05-23 |
| 1922170224 | Kenneth H Elder | Optometrist | 821 N Main Street Ext, Wallingford, CT 06492-2464 | 2006-11-14 |
| 1194895524 | John Nicholas Sienko | Optometrist | 821 N Main Street Ext, Wallingford, CT 06492-2464 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| 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 |
|---|---|---|---|---|
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| 1013180512 | Tracy D Malton | Chiropractor | 3 Hall Ave, Wallingford, CT 06492-3598 | 2008-04-07 |
| 1942410170 | Dr. O. Family Chiropractic | Chiropractor | 319 Pritchard Ln, Wallingford, PA 19086-6104 | 2007-05-23 |
| 1104950534 | Timothy Scott Pepin | Chiropractor | 1245 S Broad St, Wallingford, CT 06492-1737 | 2007-03-15 |
| 1891871562 | Thrive Center of The Green Mountains Inc | Chiropractor | 68 South Main St, Thrive Center of The Green Mountains, Wallingford, VT 05773-0539 | 2006-10-27 |
| 1154436913 | Stanley Seth Harris | Chiropractor | 826 E Center St, Wallingford, CT 06492-5038 | 2006-08-20 |
| 1922032523 | David J Hochman | Chiropractor | 863 North Main Street Ext, Suite 200, Wallingford, CT 06492-2230 | 2006-07-10 |
| 1154365922 | Kurt James Marschner | Chiropractor | 801 N Main Street Ext Ste 110, Wallingford, CT 06492-2463 | 2006-06-15 |
| 1528001435 | David Anthony Clukey | Chiropractor | 2 Chapel St, Wallingford, CT 06492-2213 | 2006-06-14 |
| 1992168199 | Healing Hands Chiropractic LLC | Chiropractor | 3 Hall Ave, Wallingford, CT 06492-3598 | 2016-04-04 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
Please comment or provide details below to improve the information on ADVANCED SPINE & SPORTS MEDICINE LLC.
| 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.