DR. SAM S SCOTT (NPI# 1467508861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467508861 |
| Entity Type | Individual |
| Full Name | DR. SAM S SCOTT |
| Credential | D.C. |
| Practice Address |
2834 N Halsted St Chicago IL 60657-5151 |
| Mailing Address |
1878 N Orchard St Chicago IL 60614-8923 |
| Practice Telephone | 3129335155 |
| Practice Fax Number | 7735494776 |
| Mailing Telephone | 3129335155 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
038-009636 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS PROVIDOR # | 1634503 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710491469 | Sam James Scott | Rehabilitation Practitioner | 1355 S Hill St, Los Angeles, CA 90015-3012 | 2017-11-16 |
| 1134264021 | Sam Scott | Dentist | 833 Anderson Ave, Coos Bay, OR 97420-4641 | 2007-02-20 |
| Street Address |
2834 N HALSTED ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-5151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972975464 | Loop Spine & Sports Center, Ltd. | Chiropractor | 30 N Michigan Ave Ste 605, Chicago, IL 60602-3806 | 2015-10-23 |
| 1437539400 | Loop Chiropractic & Sports Injury Center | Chiropractor | 19 S La Salle St, Suite 503, Chicago, IL 60603-1401 | 2015-06-04 |
| 1992982664 | Jason W Ingham Dc Sc | Chiropractor | 4552 N Magnolia Ave, Chicago, IL 60640-5513 | 2008-01-24 |
| 1215058847 | Donald Vincent Bryant | Chiropractor | 500 N Michigan Ave Ste 300, Chicago, IL 60611-3775 | 2007-04-02 |
| 1659402055 | Paul Allen Marando | Chiropractor | 1700 W Diversey Pkwy, Suite 2w, Chicago, IL 60614-1010 | 2007-03-08 |
| 1346377652 | The Sports Injury Center, Ltd. | Chiropractor | 2654 N Lincoln Ave, Chicago, IL 60614-1307 | 2007-02-27 |
| 1538248596 | Atlas Chiropractic Health Center, Inc. | Chiropractor | 3178 N Broadway St, Chicago, IL 60657-4509 | 2006-11-02 |
| 1720185176 | Peter Georgiou | Chiropractor | 916 W Belmont Ave, Chicago, IL 60657-4427 | 2006-09-20 |
| 1093789216 | Alden Clendenin | Chiropractor | 16 N Peoria St, Chicago, IL 60607-2609 | 2006-02-14 |
| 1881075216 | Nicholas Peter Fotieo | Chiropractor | 19 S La Salle St, Suite #503, Chicago, IL 60603-1401 | 2015-06-11 |
| Find all providers in CHICAGO | ||||
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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.