SPECIFIC CHIROPRACTIC (NPI# 1457521197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457521197 |
| Entity Type | Organization |
| Organization Name | SPECIFIC CHIROPRACTIC |
| Practice Address |
1673 Route 9 Suite 2 Clifton Park NY 12065-4397 |
| Practice Telephone | 5183731833 |
| Practice Fax Number | 5183713939 |
| Mailing Telephone | 5183731833 |
| Mailing Fax Number | 5183713939 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |
| Authorized Official Name | DR. CRAIG ROBERT WEHRENBERG (PARTNER) |
| Authorized Official Telephone | 5183731877 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 006719 | NY | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SPECIFIC CHIROPRACTIC AND WELLNESS LLC | 2501 E Mitchell St, Ruthven, IA 51358 |
| Street Address |
1673 ROUTE 9 SUITE 2 |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065-4397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243441 | Richard C Berkowitz | Podiatrist | 1673 Route 9, Clifton Park, NY 12065-4397 | 2005-05-23 |
| 1124249776 | Specific Chiropractic, P.C. | Chiropractor | 1673 Route 9, Clifton Park, NY 12065-4397 | 2007-05-01 |
| 1376654418 | Clifton Park Podiatry, P.C. | Podiatrist | 1673 Route 9, Clifton Park, NY 12065-4397 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| 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 |
|---|---|---|---|---|
| 1871967166 | Ferguson Family Chiropractic, Pllc | Chiropractor | 653 Plank Rd, 1, Clifton Park, NY 12065-3027 | 2015-11-24 |
| 1811371289 | Krysten Marguerite Kunzwiler | Chiropractor | 2 Chelsea Place, Clifton Park, NY 12065 | 2015-07-16 |
| 1528448289 | Michael R. Missenis | Chiropractor | 1539 Crescent Road, Clifton Park, NY 12065 | 2015-06-08 |
| 1386832889 | John Michael Ferguson | Chiropractor | 54 Crossing Blvd, Suite H, Clifton Park, NY 12065-4100 | 2007-10-09 |
| 1275754889 | Tracey E Mulhall | Chiropractor | 1 Fairchild Square, Suite 6, Clifton Park, NY 12065-1261 | 2007-05-01 |
| 1356474282 | Craig Robert Wehrenberg | Chiropractor | 1 Fairchild Sq, Suite 6, Clifton Park, NY 12065-1261 | 2007-03-13 |
| 1447349121 | Satwinder Dhanjal-garcha | Chiropractor | 56 Clifton Country Rd Ste 205, Clifton Park, NY 12065-3838 | 2006-10-12 |
| 1174615926 | Ronald Gerard Rayher | Chiropractor | 865 Route 146, Clifton Park, NY 12065-3804 | 2006-09-29 |
| 1194825414 | Rugani Family Chiropractic, P.C. | Chiropractor | 1733 Route 9, Clifton Park, NY 12065 | 2006-09-25 |
| 1356448450 | Bradley Jesse Elliott | Chiropractor | 677 Plank Rd, Clifton Park, NY 12065-2020 | 2006-09-20 |
| Find all providers in CLIFTON PARK | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
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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.