DR. JAMIE L SOUTHARD (NPI# 1487655635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487655635 |
| Entity Type | Individual |
| Full Name | DR. JAMIE L SOUTHARD |
| Credential | DC |
| Practice Address |
113 S 11th St Mount Vernon WA 98274-4025 |
| Practice Telephone | 3604882123 |
| Practice Fax Number | 3604043906 |
| Mailing Telephone | 3604882123 |
| Mailing Fax Number | 3604043906 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2015-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00034154 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8346116 | 05 |
| Street Address |
113 S 11TH ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235594516 | Jamie L Southard D.c.p.c. | Chiropractor | 113 S 11th St, Mount Vernon, WA 98274-4025 | 2015-12-30 |
| 1427249606 | Yolanda Sakuma | Massage Therapist | 113 S 11th St, Mount Vernon, WA 98274-4025 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| 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 |
|---|---|---|---|---|
| 1487145454 | Chiropractic Wellness Center of Mt Vernon, LLC. | Chiropractor | 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 | 2018-05-24 |
| 1861902207 | Sarah Lisa Kotlerman | Chiropractor | 13103 Sunday Ln, Mount Vernon, WA 98273-8025 | 2017-10-11 |
| 1043677487 | Devin Jo Daniels | Chiropractor | 14580 Wooster Rd, Mount Vernon, OH 43050-9774 | 2016-01-15 |
| 1407269251 | Scott Aaron Brown | Chiropractor | 1600 Roosevelt Avenue, Suite A, Mount Vernon, WA 98273 | 2014-06-10 |
| 1144589920 | Hansen Chiropractic | Chiropractor | 1825 Riverside Dr Suite A, Mount Vernon, WA 98273-5412 | 2012-05-14 |
| 1457665606 | Lance M Potter Pllc | Chiropractor | 1933 Farm Road 115, Ste B, Mount Vernon, TX 75457-7434 | 2010-07-29 |
| 1407189434 | Kent Mcmahon | Chiropractor | 1009 S 42nd St Ste 2b, 2, Mount Vernon, IL 62864-6218 | 2009-09-09 |
| 1780815142 | A & E Chiropractic, Pllc | Chiropractor | 70 School St, Mount Vernon, KY 40456-2948 | 2009-08-04 |
| 1699916692 | Randi James Grafft | Chiropractor | 216 2nd St Sw, Mount Vernon, IA 52314-1630 | 2009-03-20 |
| 1568631505 | Jake Overholt | Chiropractor | 11 Woodlake Trl Ste B, Mount Vernon, OH 43050-8113 | 2008-02-25 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
Please comment or provide details below to improve the information on DR. JAMIE L SOUTHARD.
| 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.