JEREMY DAVID RAWLS (NPI# 1306193701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306193701 |
| Entity Type | Individual |
| Full Name | JEREMY DAVID RAWLS |
| Credential | DC |
| Practice Address |
212 N Front St Oak Grove LA 71263 |
| Mailing Address |
Po Box 364 Oak Grove LA 71263-0364 |
| Practice Telephone | 3184288450 |
| Mailing Telephone | 3184288450 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1648 | LA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851808158 | Jeremy Randel Rawls | Pharmacist | 36009 Highway 38, Mount Hermon, LA 70450-6534 | 2018-01-08 |
| Street Address |
212 N FRONT ST |
| City | OAK GROVE |
| State | LA |
| Zip Code | 71263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942850284 | Melba West | Technician | Melba West, 9192 Hwy 585, Oak Grove, LA 71263 | 2019-09-18 |
| 1972975225 | Healing Life Health Center LLC | Community/Behavioral Health | 602 South Constitution Avenue, Oak Grove, LA 71263 | 2015-10-27 |
| 1538358569 | West Carroll Arc | Day Training, Developmentally Disabled Services | 611 West Jefferson, Oak Grove, LA 71263 | 2007-10-16 |
| 1477750842 | West Carroll Arc | Day Training, Developmentally Disabled Services | 611 West Jefferson St, Oak Grove, LA 71263 | 2007-06-29 |
| 1346463767 | Carroll Nursing Home | Durable Medical Equipment & Medical Supplies | 307 N Castleman Street, Oak Grove, LA 71263 | 2007-04-11 |
| 1376670059 | Karla Welch Robertson | Dentist | 414 Ross St., Oak Grove, LA 71263 | 2007-02-28 |
| 1669529111 | Northstar,tlc Inc. | Durable Medical Equipment & Medical Supplies | 212 E. Jefferson, Oakgrove, LA 71263 | 2007-01-05 |
| 1265500490 | Mark Anthony Portacci | Family Medicine | 706 Ross Street, Oak Grove, LA 71263 | 2006-12-04 |
| 1740268739 | Carroll Nursing Home | Nursing Facility/Intermediate Care Facility | 307 N. Castleman St, Oak Grove, LA 71263 | 2006-01-09 |
| 1790936953 | Misty L Ellerbe | Physician Assistant | 706 Ross Street, Oak Grove, LA 71263 | 2008-10-07 |
| Find all providers in zip 71263 | ||||
| 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 |
|---|---|---|---|---|
| 1164941852 | Jessica Lynn Vanderklei | Chiropractor | 705 S Broadway, Oak Grove, MO 64075-8102 | 2017-09-13 |
| 1063744936 | Stiles Chiropractic P.C. | Chiropractor | 1103 S Broadway, Suite C, Oak Grove, MO 64075-9272 | 2010-02-03 |
| 1063693729 | Ronald L Marvin | Chiropractor | 712 S Broadway, Oak Grove, MO 64075-8102 | 2007-11-21 |
| 1518949031 | John Thomas Haller | Chiropractor | 105 Sw 12th St, Oak Grove, MO 64075-0957 | 2005-11-18 |
| 1609354844 | Oak Grove Chiropractic LLC | Chiropractor | 705 S Broadway, Oak Grove, MO 64075-8102 | 2018-07-31 |
| 1891972014 | Jody L Grasher | Chiropractor | 712 S Broadway, Oak Grove, MO 64075-8102 | 2008-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539418 | Johnathan Ory Boudreaux | Chiropractor | 3219 Sterlington Rd, Monroe, LA 71203-2519 | 2020-08-18 |
| 1811514763 | Daniel William Cadona | Chiropractor | 200 Beaullieu Dr Ste 9b2, Lafayette, LA 70508-7230 | 2020-06-26 |
| 1598382467 | Mcgraw-edwards Chiropractic LLC. | Chiropractor | 7197 Us Highway 61 Suite E, St. Francisville, LA 70775 | 2020-06-26 |
| 1306461488 | Evan Tyler Beatty | Chiropractor | 6601 Veterans Memorial Blvd Ste 33, Metairie, LA 70003-3943 | 2020-06-14 |
| 1235753765 | Scott Mccarty | Chiropractor | 405 Gretna Blvd Ste 109, Gretna, LA 70053-4972 | 2020-06-01 |
| 1699300483 | Lauren Michelle Shively | Chiropractor | 4200 Airline Dr Ste 600, Bossier City, LA 71111-2189 | 2020-03-11 |
| 1962036327 | Samuel Catalanatto LLC | Chiropractor | 1660 Highway 59 Ste 500, Mandeville, LA 70448-1956 | 2020-02-25 |
| 1871126680 | Casey Elizabeth Shelton | Chiropractor | 1901 Possum Hollow Rd, Slidell, LA 70458-8303 | 2020-02-20 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
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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.