ELITE CHIROPRACTIC OF THE OZARKS, LLC (NPI# 1376041665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376041665 |
| Entity Type | Organization |
| Organization Name | ELITE CHIROPRACTIC OF THE OZARKS, LLC |
| Practice Address |
240 W Main St West Plains MO 65775-2726 |
| Mailing Address |
Po Box 485 Brandsville MO 65688-0485 |
| Practice Telephone | 4172572477 |
| Mailing Telephone | 4172572477 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |
| Authorized Official Name | DR. JOHNA WADE (OWNER/ SOLE PHYSICIAN) |
| Authorized Official Telephone | 4172744366 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2018000970 | MO | Chiropractic Providers |
| Street Address |
240 W MAIN ST |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831607118 | Johna Lee Wade | Chiropractor | 240 W Main St, West Plains, MO 65775-2726 | 2018-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| 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 |
|---|---|---|---|---|
| 1992186563 | Kelsie Rasor Chiropractic | Chiropractor | 917 W Broadway St, West Plains, MO 65775-2372 | 2015-06-09 |
| 1306284534 | Chase Johnson Dc, LLC | Chiropractor | 1105 Independence Dr, West Plains, MO 65775-4221 | 2013-06-10 |
| 1962693044 | Wiehe Chiropractic Center | Chiropractor | 1434 8th St, West Plains, MO 65775-2010 | 2007-08-05 |
| 1831232719 | Katherine Keith Orlowski | Chiropractor | 301 Missouri Ave, West Plains, MO 65775-2609 | 2007-02-14 |
| 1427107135 | Brent E Easley | Chiropractor | 1702 W Us Highway 160, West Plains, MO 65775-7669 | 2007-01-10 |
| 1730257775 | Ranee Furrow Roberts | Chiropractor | 5003 Us Highway 160, West Plains, MO 65775-7665 | 2006-11-30 |
| 1083624845 | Thomas H Green | Chiropractor | 1713 W Us Highway 160, Suite 215, West Plains, MO 65775-7669 | 2006-08-08 |
| 1831607118 | Johna Lee Wade | Chiropractor | 240 W Main St, West Plains, MO 65775-2726 | 2018-01-20 |
| 1205379831 | West Plains Family Chiropractic | Chiropractor | 5003 Us Highway 160, West Plains, MO 65775-7665 | 2016-11-30 |
| 1801285572 | Kelsie Rasor | Chiropractor | 5003 Us Highway 160, West Plains, MO 65775-7665 | 2015-01-17 |
| Find all providers in WEST PLAINS | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
Please comment or provide details below to improve the information on ELITE CHIROPRACTIC OF THE OZARKS, LLC.
| 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.