DR. RICHARD D SHADE JR. (NPI# 1326148313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326148313 |
| Entity Type | Individual |
| Full Name | DR. RICHARD D SHADE JR. |
| Credential | DC |
| Practice Address |
569 Columbia Turnpike East Greenbush NY 12061 |
| Practice Telephone | 5184775000 |
| Practice Fax Number | 5184775009 |
| Mailing Telephone | 5184775000 |
| Mailing Fax Number | 5184775009 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X010861-1 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CH414 | 05 |
| Street Address |
569 COLUMBIA TURNPIKE |
| City | EAST GREENBUSH |
| State | NY |
| Zip Code | 12061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245706613 | East Greenbush Chiropractic Pllc | Chiropractor | 569 Columbia Turnpike, East Greenbush, NY 12061 | 2018-10-23 |
| 1639645419 | East Greenbush Chiropractic Pllc | Chiropractor | 569 Columbia Turnpike, East Greenbush, NY 12061 | 2018-10-18 |
| 1265668370 | Deborah Jean Torrance | Acupuncturist | 569 Columbia Turnpike, East Greenbush, NY 12061-1601 | 2009-06-03 |
| 1730218736 | Timothy Michael Kelly | Chiropractor | 569 Columbia Turnpike, East Greenbush, NY 12061 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285096040 | Anne Keetz Redmond | Specialist | 673 Columbia Turnpike, Capital District Beginnings, East Greenbush, NY 12061 | 2016-03-22 |
| 1649523010 | James Mcdermott | Counselor | 743 Columbia Turnpike, East Greenbush, NY 12061 | 2012-10-22 |
| 1851606222 | Caley S Barile | Dentist | 114 Troy Road, East Greenbush, NY 12061 | 2010-08-10 |
| 1932334489 | Kathleen Kern Saunders | Social Worker | 22 Bri Lan Ave., East Greenbush, NY 12061 | 2009-05-27 |
| 1831207257 | Rensselaer Planning LLC | Assisted Living Facility | 1070 Luther Road, East Greenbush, NY 12061 | 2006-08-26 |
| 1891759296 | Kanchan P Singh | Optometrist | 609 Columbia Turnpike, Empire Vision Centers, East Greenbush, NY 12061 | 2006-04-13 |
| 1508385436 | Cara Della Villa | Specialist | 673 Columbia Turnpike, East Greenbush, NY 12061 | 2017-09-12 |
| 1790222313 | Capital District Beginnings | Early Intervention Provider Agency | 673 Columbia Turnpike, East Greenbush, NY 12061 | 2017-01-20 |
| 1427508852 | Panorea Katerina Miszko | Specialist | 673 Columbia Turnpike, East Greenbush, NY 12061 | 2016-10-10 |
| 1508876293 | Advantage Physical Therapy At Brookview | Physical Therapist | 568 Columbia Tpke, Ste 2, East Greenbush, NY 12061 | 2006-08-08 |
| Find all providers in zip 12061 | ||||
| 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 |
|---|---|---|---|---|
| 1154531457 | Amy Lee Burelson | Chiropractor | 569 Columbia Tpke, East Greenbush, NY 12061-1601 | 2007-05-23 |
| 1710039284 | Winter Michelle Guffey | Chiropractor | 91 Troy Rd, East Greenbush, NY 12061-1348 | 2007-01-17 |
| 1871501213 | David Kerschner | Chiropractor | 6 Greenwood Dr, East Greenbush, NY 12061-2036 | 2006-08-03 |
| 1205878808 | East Greenbush Chiropractic | Chiropractor | 568 Columbia Tpke, East Greenbush, NY 12061-1600 | 2006-06-11 |
| 1245706613 | East Greenbush Chiropractic Pllc | Chiropractor | 569 Columbia Turnpike, East Greenbush, NY 12061 | 2018-10-23 |
| 1639645419 | East Greenbush Chiropractic Pllc | Chiropractor | 569 Columbia Turnpike, East Greenbush, NY 12061 | 2018-10-18 |
| 1073708855 | Living Health Chiropractic, Pllc | Chiropractor | 91 Troy Rd, East Greenbush, NY 12061-1348 | 2007-09-13 |
| 1730218736 | Timothy Michael Kelly | Chiropractor | 569 Columbia Turnpike, East Greenbush, NY 12061 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980959 | Jay Rosenbluth | Chiropractor | 501 5th Ave Rm 809, New York, NY 10017-7809 | 2020-10-20 |
| 1457959223 | Howard Joseph Baron | Chiropractor | 360 Shore Rd Apt 6b, Long Beach, NY 11561-4374 | 2020-10-14 |
| 1003414079 | Brett John Poniros | Chiropractor | 220 Tompkins Ave, Pleasantville, NY 10570-3146 | 2020-10-13 |
| 1528675923 | Dominic Estevez | Chiropractor | 361 N Broadway, Lindenhurst, NY 11757-3302 | 2020-09-29 |
| 1457963969 | Mariella Townsend | Chiropractor | 220 S Service Rd Ste 12, Roslyn Heights, NY 11577-2131 | 2020-08-18 |
| 1235740275 | Andrea Hope Levin | Chiropractor | 280 Beaumont St, Brooklyn, NY 11235-4121 | 2020-08-13 |
| 1326657354 | David Gurpegui | Chiropractor | 13263 Maple Ave Apt 2r, Flushing, NY 11355-4417 | 2020-07-27 |
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1700404027 | Amy J Lin | Chiropractor | 8225 Queens Blvd Ste 1a, Elmhurst, NY 11373-4242 | 2020-07-13 |
| 1124646856 | Brayana Lashay Dudley | Chiropractor | 25 Scott Ln, Rochester, NY 14624-3919 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | EAST GREENBUSH |
| Zip Code | 12061 |
Please comment or provide details below to improve the information on DR. RICHARD D SHADE JR..
| 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.