WOODROW W. GWINN JR. (NPI# 1508901471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508901471 |
| Entity Type | Organization |
| Organization Name | WOODROW W. GWINN JR. |
| Other Organization Name | MARYVILLE CHIROPRACTIC CLINIC |
| Practice Address |
1812 E Lamar Alexander Pkwy Maryville TN 37804-5283 |
| Practice Telephone | 8659770916 |
| Practice Fax Number | 8659843519 |
| Mailing Telephone | 8659770916 |
| Mailing Fax Number | 8659843519 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | DR. WOODROW W GWINN JR. (OWNER) |
| Authorized Official Telephone | 8659770916 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC0000000336 | TN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3723208 | 05 |
| Other Name | Type Code |
|---|---|
| Maryville Chiropractic Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396880951 | Woodrow W. Gwinn Jr. | Chiropractor | 3912 Highway 411, Madisonville, TN 37354-4428 | 2007-02-21 |
| Street Address |
1812 E LAMAR ALEXANDER PKWY |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-5283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083615553 | Woodrow W Gwinn Jr. | Chiropractor | 1812 E Lamar Alexander Pkwy, Maryville, TN 37804-5283 | 2005-08-09 |
| 1750604799 | John N Sibley Jr. | Chiropractor | 1812 E Lamar Alexander Pkwy, Maryville, TN 37804-5283 | 2010-03-04 |
| 1366498602 | Ryan Jay Lounsberry | Chiropractor | 1812 E Lamar Alexander Pkwy, Maryville, TN 37804-5283 | 2006-05-26 |
| 1023077369 | Rafael M Rodriguez | Chiropractor | 1812 E Lamar Alexander Pkwy, Maryville, TN 37804-5283 | 2006-03-23 |
| 1407843071 | Russell C Dreyer | Chiropractor | 1812 E Lamar Alexander Pkwy, Maryville, TN 37804-5283 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| 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 |
|---|---|---|---|---|
| 1649799966 | Carolyn Rose Filla | Chiropractor | 1780 W Lamar Alexander Pkwy, Maryville, TN 37801-3784 | 2017-09-19 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1457684219 | Bryan W Reid | Chiropractor | 2805 N Center St, Maryville, IL 62062-5622 | 2009-09-11 |
| 1154569150 | Catherine R Flynn | Chiropractor | 802 Mountain View Ave, Maryville, TN 37803-4822 | 2009-01-29 |
| 1659563542 | Walsh Chiropractic Ltd | Chiropractor | 2800 N Center, Maryville, IL 62062 | 2007-08-14 |
| 1053523811 | Steven R Watts | Chiropractor | 1011 W Broadway Ave, Maryville, TN 37801-4638 | 2007-05-04 |
| 1558586727 | Olav E. Lipiec | Chiropractor | 26044 Lakeview Dr, Maryville, MO 64468-7263 | 2007-04-14 |
| 1801931142 | Evan William Butcher | Chiropractor | 2724 E Broadway Ave, Maryville, TN 37804-2557 | 2007-02-21 |
| 1407991771 | Southern Illinois Chiropractic Center | Chiropractor | 2 Professional Park Drive, Suite B, Maryville, IL 62062-5746 | 2007-02-21 |
| 1801943113 | Bryan R Ardis | Chiropractor | 1103 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 | 2007-01-05 |
| Find all providers in MARYVILLE | ||||
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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.