WELLNESS CONCEPTS CLINIC LLC (NPI# 1275771669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275771669 |
| Entity Type | Organization |
| Organization Name | WELLNESS CONCEPTS CLINIC LLC |
| Practice Address |
1200 E Woodhurst Dr Ste R 300 Springfield MO 65804-4261 |
| Practice Telephone | 4178771300 |
| Practice Fax Number | 4178771335 |
| Mailing Telephone | 4178771300 |
| Mailing Fax Number | 4178771335 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |
| Authorized Official Name | DR. ERIC WAYNE REAVIS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4178771300 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2003027886 | MO | Chiropractic Providers |
| N | 171100000X | Acupuncturist | 2002030343 | MO | Other Service Providers |
| N | 171100000X | Acupuncturist | 2002024850 | MO | Other Service Providers |
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
2007008411 | MO | Chiropractic Providers |
| Street Address |
1200 E WOODHURST DR STE R 300 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-4261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366444663 | Thomas Joseph Meyer | Dentist | 1200 E Woodhurst Dr, Ste H200, Springfield, MO 65804-3776 | 2005-06-01 |
| 1770031759 | Patricia Wagner | Nurse Practitioner | 1200 E Woodhurst Dr, Q200, Springfield, MO 65804-4261 | 2016-09-19 |
| 1356700181 | Glen H Petteway, D.d.s., P.C. | Dentist | 1200 E Woodhurst Dr, Bld T, Suite 300, Springfield, MO 65804-4261 | 2016-02-22 |
| 1043691462 | Ascend Dental Design, LLC | Clinic/Center | 1200 E Woodhurst Dr, Building U, Springfield, MO 65804-4240 | 2015-06-11 |
| 1699170159 | Geosling Chiropractic Clinic, Inc | Clinic/Center | 1200 E Woodhurst Dr, Suite L200, Springfield, MO 65804-4261 | 2014-10-27 |
| 1336560010 | Thomas F, Hoff, Dds, LLC | Dentist | 1200 E Woodhurst Dr, Building F Suite 100, Springfield, MO 65807-4261 | 2013-12-23 |
| 1801234828 | Derek J Magers | Dentist | 1200 E Woodhurst Dr, Building U, Springfield, MO 65804-4261 | 2013-06-12 |
| 1073805776 | Wellness Concepts Clinic | Chiropractor | 1200 E Woodhurst Dr, Suite R300, Springfield, MO 65804-4261 | 2011-05-12 |
| 1124310107 | Candace Wawra | Hearing Instrument Specialist | 1200 E Woodhurst Dr, Suite Q Building 100, Springfield, MO 65804-4261 | 2011-05-09 |
| 1437450970 | Springfield Hearing Center | Hearing Instrument Specialist | 1200 E Woodhurst Dr, Suite Q-100, Springfield, MO 65804-4261 | 2010-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679695878 | Douglas Edward Scott | Chiropractor | 3734 South Ave Ste A, Springfield, MO 65807-5291 | 2007-04-06 |
| 1043296726 | Brian Scott Dixon | Chiropractor | 90 Berkshire Ave, Springfield, MA 01109-1709 | 2005-12-15 |
| 1902804024 | Susan Draper White | Chiropractor | 6803 C St, Springfield, OR 97478-7389 | 2005-07-12 |
| 1184129694 | Core Strength Chiropractic LLC | Chiropractor | 498 Harlow Rd Ste 3, Springfield, OR 97477-1339 | 2018-03-27 |
| 1952757353 | Abigail Emery | Chiropractor | 3021 E Sunshine St, Springfield, MO 65804-2052 | 2016-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021408 | Jacob Schmitz | Chiropractor | 380 Beckley Pl, Saint Charles, MO 63304-1029 | 2020-10-19 |
| 1427520634 | Justin Kelly | Chiropractor | 8011 Maryland Avenue, St. Louis, MO 63105 | 2018-12-28 |
| 1912329897 | Matthew Mcfarland | Chiropractor | 311 Pine St, West Plains, MO 65775-2533 | 2014-01-13 |
| 1134460090 | Tara Adams LLC | Chiropractor | 429 Coronado Dr, Ballwin, MO 63011-2543 | 2013-03-01 |
| 1669716031 | Brentwood Spine Clinic LLC | Chiropractor | 2202 S Brentwood Blvd, Brentwood, MO 63144-1804 | 2012-11-24 |
| 1669770251 | Cindy Almon | Chiropractor | 9058 Watson Rd Ste C, Saint Louis, MO 63126-2242 | 2011-03-04 |
| 1518273911 | Performance Health Care LLC | Chiropractor | 3641 Reavis Barracks Rd, Saint Louis, MO 63125-2438 | 2010-08-23 |
| 1518284702 | Sturges Chiropractic Health Center PC | Chiropractor | 1575 Kisker Rd, Saint Charles, MO 63304-0608 | 2010-04-27 |
| 1851627566 | Pharr Chiropractic and Rehabilitation | Chiropractor | 2726 W Osage St, Pacific, MO 63069-3430 | 2009-10-30 |
| 1376782342 | Mcclain Chiropractic Inc | Chiropractor | 2640 N. Hwy. 67, Florissant, MO 63033-1438 | 2009-02-13 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
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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.