DR. SIDNEY CHARLES PRUITT III (NPI# 1497760813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497760813 |
| Entity Type | Individual |
| Full Name | DR. SIDNEY CHARLES PRUITT III |
| Credential | DC |
| Practice Address |
103 E Lone Star Cleburne TX 76031 |
| Practice Telephone | 8176458116 |
| Practice Fax Number | 8175588116 |
| Mailing Telephone | 8176458116 |
| Mailing Fax Number | 8175588116 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4810 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | C06019489 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205364320 | Sidney Pruitt Iv | Chiropractor | 103 E Lone Star Ave, Cleburne, TX 76031-3226 | 2017-06-02 |
| Street Address |
103 E LONE STAR |
| City | CLEBURNE |
| State | TX |
| Zip Code | 76031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861973620 | Alycia Sauder | Physical Therapist | 433 Ruby Lane, Cleburne, TX 76031 | 2018-08-28 |
| 1619283744 | Meals On Wheels of Johnson and Ellis Counties Inc. | Meals | 106 E Kilpatrick St, Cleburne, TX 76031 | 2010-08-26 |
| 1801092739 | Jason J Avery | Physical Therapy Assistant | 1108 West Kilpatrik, Cleburne, TX 76031 | 2007-06-26 |
| 1215053772 | Assisted Living Concepts Inc | Assisted Living Facility | 814 Woodard Avenue, Cleburne, TX 76031 | 2007-03-22 |
| 1619093218 | Cleburne Surgical Center, LLC | Clinic/Center | 2010 W Katherine P Raines, Cleburne, TX 76031 | 2007-03-22 |
| 1376550244 | Marcia T Sampson Md Pa | Pediatrics | 2140 Fm 157 N, Mansfield, TX 76031 | 2006-08-02 |
| 1619497526 | Resilience Coaching and Counseling | Social Worker | 3628 Northcrest Dr, Cleburne, TX 76031 | 2017-06-21 |
| 1225109960 | Ronald Lee Isreal | Social Worker | 4016 Black Oak Dr, Cleburne, TX 76031-0197 | 2006-11-13 |
| 1689605750 | Jan K Curnow | Registered Nurse | 600 Willow Bend St, Cleburne, TX 76031-0313 | 2006-07-06 |
| 1144620212 | Jason Fautheree | Skilled Nursing Facility | 607 Willow Bend St, Cleburne, TX 76031-0314 | 2014-08-26 |
| Find all providers in zip 76031 | ||||
| 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 |
|---|---|---|---|---|
| 1205364320 | Sidney Pruitt Iv | Chiropractor | 103 E Lone Star Ave, Cleburne, TX 76031-3226 | 2017-06-02 |
| 1194963397 | Heather Kaye Ellis | Chiropractor | 908 W Henderson St, Cleburne, TX 76033-4836 | 2009-01-26 |
| 1841472115 | Greater Health and Rehabilitation, LLC | Chiropractor | 306 Granbury St, Suite B, Cleburne, TX 76033-4853 | 2007-11-28 |
| 1528268695 | Chiropractic & Sports Clinic | Chiropractor | 821 N. Nolan River Rd, Cleburne, TX 76033 | 2007-07-18 |
| 1497875611 | Glen Robert Tessman | Chiropractor | 201 N Ridgeway Dr, Cleburne, TX 76033-4114 | 2007-03-30 |
| 1629160288 | Tina Kay Witkowski-kirkpatrick | Chiropractor | 506 N Ridgeway Suite B, Cleburne, TX 76033 | 2006-09-29 |
| 1972512531 | Randell Wayne Moss | Chiropractor | 821 N. Nolan River Rd., Cleburne, TX 76033 | 2006-08-05 |
| 1811905037 | Brandi Leigh Shafer | Chiropractor | 1649 W Henderson St Ste A, Cleburne, TX 76033-4108 | 2006-08-03 |
| 1487285979 | Texans for Chiropractic Wellness | Chiropractor | 908 W Henderson St, Cleburne, TX 76033-4836 | 2020-02-03 |
| 1700267242 | Family Nutrition and Chiropractic Pllc | Chiropractor | 908 W Henderson St, Cleburne, TX 76033-4836 | 2015-06-10 |
| Find all providers in CLEBURNE | ||||
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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.