RICHARD E COBURN (NPI# 1366523268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366523268 |
| Entity Type | Individual |
| Full Name | RICHARD E COBURN |
| Credential | DC |
| Practice Address |
8099 Stage Hills Blvd Suite 101 Bartlett TN 38133-4064 |
| Mailing Address |
130 Stonebridge Blvd Ste B Jackson TN 38305-2086 |
| Practice Telephone | 9013860080 |
| Practice Fax Number | 9013820089 |
| Mailing Telephone | 7319849800 |
| Mailing Fax Number | 7319847346 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC0000001351 | TN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUECROSS BLUESHIELD | 4070702 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699931691 | Richard Ryan Coburn | Dentist | 80 Acoma Blvd, Lake Havasu City, AZ 86403 | 2008-07-30 |
| 1013090869 | Richard James Coburn | Plastic Surgery | 880 Fifth Avenue, New York, NY 10021 | 2006-10-23 |
| 1750822532 | Richard Coburn | Counselor | 52 W Pleasant St, Claremont, NH 03743-3055 | 2017-03-14 |
| Street Address |
8099 STAGE HILLS BLVD SUITE 101 |
| City | BARTLETT |
| State | TN |
| Zip Code | 38133-4064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043482193 | Coburn Back and Neck Pain Clinic Inc. | Clinic/Center | 8099 Stage Hills Blvd, Suite 101, Bartlett, TN 38133-4064 | 2008-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1487142048 | David Charles Riddle | Pharmacist | 8400 Hwy 64, Bartlett, TN 38133 | 2018-04-28 |
| 1366943177 | Calandra White Shannon | Physical Therapist | 8025 Highway 64, Suite 102, Memphis, TN 38133 | 2018-02-27 |
| 1285144527 | Annice R.h. Overall | Social Worker | 2561 Sunny Glade Cove, Memphis, TN 38133 | 2017-09-30 |
| 1275050098 | Bartlett Asc, LLC | Clinic/Center | 3045 Kate Bond Road, Bartlett, TN 38133 | 2017-08-23 |
| 1407385297 | Tennessee Psychiatric Services Pllc | Psychiatry & Neurology | 2965 N Germantown Rd Ste 116, Bartlett, TN 38133 | 2017-06-06 |
| 1598113656 | Sensory World Memphis | Durable Medical Equipment & Medical Supplies | 2965 N Germantown Rd Suite 107, Bartlett, TN 38133 | 2016-05-31 |
| 1659754471 | Grant Coleman Dasher | Dentist | 2705 Appling Road Suite 101, Memphis, TN 38133 | 2015-06-30 |
| 1134533243 | Caelyn Newport | Chiropractor | 7879 Crescent Hill Dr., Memphis, TN 38133 | 2014-06-17 |
| 1033536479 | Lunceford Family Health Center | Internal Medicine | 7865 Edcator's Ln Suite 300, Bartlett, TN 38133 | 2014-03-24 |
| Find all providers in zip 38133 | ||||
| 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 |
|---|---|---|---|---|
| 1700385283 | Jared Worthington | Chiropractor | 3189 Kirby Whitten Rd Ste 104, Bartlett, TN 38134-2855 | 2018-02-09 |
| 1396297941 | Jeffrey Andersen | Chiropractor | 2919 Elmore Park Rd, Suite 3, Bartlett, TN 38134-8363 | 2016-10-31 |
| 1871915769 | Jc Rejuvenation and Wellness Ltd | Chiropractor | 825 S Illinois Route 59, Bartlett, IL 60103-1629 | 2014-01-10 |
| 1760804710 | Jeffrey Witek | Chiropractor | 825 S. Illinois Route 59, Bartlett, IL 60103-1629 | 2014-01-10 |
| 1144575408 | Neighborhood Healthcare LLC | Chiropractor | 180 Partridge Ln, Bartlett, IL 60103-4652 | 2012-07-23 |
| 1639447436 | Steven Ryan Petzel | Chiropractor | 260 E. Army Trail Rd, Suite D, Bartlett, IL 60103-3005 | 2011-12-07 |
| 1689831349 | Cheryl Anne Petschke | Chiropractor | 158 Bartlett Plz, Bartlett, IL 60103-4234 | 2008-05-20 |
| 1063695575 | Ben B Kemker | Chiropractor | 2743 Bartlett Blvd, Bartlett, TN 38134-4580 | 2007-12-07 |
| 1376739425 | Theresa Ann Bull | Chiropractor | 5n375 Cuyahoga Ter, Bartlett, IL 60103-3017 | 2007-09-22 |
| 1538287412 | Matthew Philip Cornies | Chiropractor | 3189 Kirby Whitten Rd, Suite 104, Bartlett, TN 38134-2854 | 2007-03-27 |
| Find all providers in BARTLETT | ||||
Please comment or provide details below to improve the information on RICHARD E COBURN.
| 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.