ELEVATION CHIROPRACTIC, LLC (NPI# 1407129992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407129992 |
| Entity Type | Organization |
| Organization Name | ELEVATION CHIROPRACTIC, LLC |
| Practice Address |
1812 Carondalet Dr Suite 102 Cape Girardeau MO 63701-2285 |
| Practice Telephone | 5734508088 |
| Mailing Telephone | 5734508088 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |
| Authorized Official Name | DR. MATTHEW UCHTMAN (OWNER) |
| Authorized Official Telephone | 5734508088 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2011005972 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MO LICENSE | 2011005972 | 01 |
| INDIVIDUAL NPI | 1356531420 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750670824 | Elevation Chiropractic, LLC | Chiropractor | 10451 W Garverdale Ct Ste 204, Boise, ID 83704-5475 | 2011-03-29 |
| Street Address |
1812 CARONDALET DR SUITE 102 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-2285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| 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 |
|---|---|---|---|---|
| 1235523200 | River City Chiropractic | Chiropractor | 1301 N Kingshighway St Ste A, Cape Girardeau, MO 63701-2198 | 2015-03-26 |
| 1750686754 | Chris Jones | Chiropractor | 2532 Copperfield Ct, Cape Girardeau, MO 63701 | 2011-01-21 |
| 1609106442 | John Elijah Warren | Chiropractor | 2145 William St, Cape Girardeau, MO 63703-5817 | 2009-12-29 |
| 1235263575 | Scott Bryan Smith | Chiropractor | 2560 Independence St, Cape Girardeau, MO 63703-5736 | 2007-03-16 |
| 1023156510 | Roy Phillip Meyer | Chiropractor | 73 Sheridan, Cape Girardeau, MO 63703-5936 | 2007-02-05 |
| 1881747400 | Charlton Chiropractic | Chiropractor | 1028 N Kingshighway St Ste 3, Cape Girardeau, MO 63701-3503 | 2007-01-18 |
| 1710061502 | Gary James Bridges | Chiropractor | 1636 Independence Street, Cape Girardeau, MO 63703-5902 | 2006-10-25 |
| 1356433478 | Kessinger Upper Cervical Care Clinic, LLC | Chiropractor | 1424 Kurre Lane, Cape Girardeau, MO 63701 | 2006-09-28 |
| 1386741049 | Kendrick Morris | Chiropractor | 1424 Kurre Ln, Cape Girardeau, MO 63701-2254 | 2006-09-17 |
| 1427154772 | Brian D Stevens | Chiropractor | 1749 E Independence Square, Cape Girardeau, MO 63703 | 2006-09-15 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
Please comment or provide details below to improve the information on ELEVATION CHIROPRACTIC, 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.