LEATHERMAN CLINIC, INC. (NPI# 1326236811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326236811 |
| Entity Type | Organization |
| Organization Name | LEATHERMAN CLINIC, INC. |
| Practice Address |
463 S Thompson Ave Excelsior Springs MO 64024-2133 |
| Practice Telephone | 8166375000 |
| Practice Fax Number | 8166375370 |
| Mailing Telephone | 8166375000 |
| Mailing Fax Number | 8166375370 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | DR. CHRIS LEATHERMAN (PRESIDENT) |
| Authorized Official Telephone | 8166375000 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2002020065 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | INDIVIDUAL NPI | 1689611964 | 01 |
| Street Address |
463 S THOMPSON AVE |
| City | EXCELSIOR SPRINGS |
| State | MO |
| Zip Code | 64024-2133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689611964 | Christopher Leatherman | Chiropractor | 463 S Thompson Ave, Excelsior Springs, MO 64024-2133 | 2006-06-02 |
| 1437616588 | Momentum Chiropractic and Wellness LLC | Clinic/Center | 463 S Thompson Ave, Excelsior Springs, MO 64024-2133 | 2019-02-25 |
| 1366909400 | Herb William Butzbach Iv | Chiropractor | 463 S Thompson Ave, Excelsior Springs, MO 64024-2133 | 2019-02-25 |
| 1962785253 | Danen Pauly Enterprises Inc | Preferred Provider Organization | 463 S Thompson Ave, Excelsior Springs, MO 64024-2133 | 2011-09-22 |
| 1679856975 | Danen Pauly | Chiropractor | 463 S Thompson Ave, Excelsior Springs, MO 64024-2133 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417414178 | Allison Gordy | Nurse Practitioner | 10101 N Jesse James Rd., Excelsior Springs, MO 64024 | 2019-02-28 |
| 1508398892 | Holly Nicole Courtney | Occupational Therapist | 1300 Meadowlark Ln, Excelsior Springs, MO 64024 | 2017-03-28 |
| 1063839835 | John Paul Schutz | Family Medicine | 25814 Wornall Road, Excelsior Springs, MO 64024 | 2014-03-18 |
| 1215276977 | Anna M Wells | Nurse Practitioner | 1006 N Jesse James Rd Suite #1, Excelsior Springs, MO 64024 | 2013-01-31 |
| 1326386749 | New Liberty Hospital Corporation | Family Medicine | 199 S Mccleary Rd, Suite 100, Excelsior Springs, MO 64024 | 2013-01-18 |
| 1306132600 | Christopher Cooper | Family Medicine | 199 S. Mccleary Rd, Excelsior Springs, MO 64024 | 2011-06-24 |
| 1295922458 | Dst Inc | Assisted Living Facility | 410 Superior, Excelsior Springs, MO 64024 | 2007-10-01 |
| 1114084738 | Medical Arts Centers Inc | Family Medicine | 950 N Jesse James Rd, Excelsior Spgs, MO 64024 | 2007-01-02 |
| 1376621557 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1018 N Jesse James Rd, Excelsior Springs, MO 64024 | 2006-11-02 |
| 1265464234 | Excelsior Springs 1 Inc | Skilled Nursing Facility | 1410 Hospital Drive, Excelsior Springs, MO 64024 | 2006-07-07 |
| Find all providers in zip 64024 | ||||
| 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 |
|---|---|---|---|---|
| 1487276408 | Kathryn Michelle Willimetz | Chiropractor | 2330 Vintage Ct, Excelsior Springs, MO 64024-8011 | 2020-05-13 |
| 1194919282 | Excelsior Chiropractic Center, PC | Chiropractor | 1000 N Jesse James Rd Ste 3, Excelsior Springs, MO 64024-1244 | 2007-08-31 |
| 1154349934 | Kim M Miller | Chiropractor | 1022 N Jesse James Rd, Excelsior Springs, MO 64024-1202 | 2006-07-18 |
| 1275566077 | Back To Health PC | Chiropractor | 1727 W Jesse James Rd, Suite 5, Excelsior Springs, MO 64024-1846 | 2006-07-08 |
| 1689611964 | Christopher Leatherman | Chiropractor | 463 S Thompson Ave, Excelsior Springs, MO 64024-2133 | 2006-06-02 |
| 1548253156 | Randolph Roy Decker | Chiropractor | 1000 N Jesse James Rd, Suite 3, Excelsior Springs, MO 64024-1244 | 2005-08-30 |
| 1205445236 | First Resort Chiropractic | Chiropractor | 2330 Vintage Ct, Excelsior Springs, MO 64024-8011 | 2020-07-27 |
| 1366909400 | Herb William Butzbach Iv | Chiropractor | 463 S Thompson Ave, Excelsior Springs, MO 64024-2133 | 2019-02-25 |
| 1679856975 | Danen Pauly | Chiropractor | 463 S Thompson Ave, Excelsior Springs, MO 64024-2133 | 2011-09-22 |
| 1205159837 | Caring Chiropractic | Chiropractor | 1022 N Jesse James Rd, Excelsior Springs, MO 64024-1202 | 2010-03-10 |
| Find all providers in EXCELSIOR SPRINGS | ||||
| City | EXCELSIOR SPRINGS |
| Zip Code | 64024 |
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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.