DR. JEROD LYNN OCHSENDORF (NPI# 1508939091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508939091 |
| Entity Type | Individual |
| Full Name | DR. JEROD LYNN OCHSENDORF |
| Credential | DC, CCSP, ATC |
| Practice Address |
114 5th Ave W Alexandria MN 56308-1304 |
| Practice Telephone | 3207622055 |
| Mailing Telephone | 3207622055 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2016-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4768 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE PTAN | 350004518 | 01 |
| MN | BCBS 'AWARE' PROVIDER | 77G43OC | 01 |
| MN | 260441800 | 05 |
| Street Address |
114 5TH AVE W |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356430169 | Michael Richard Dahlquist | Chiropractor | 114 5th Ave W, Alexandria, MN 56308-1304 | 2006-10-11 |
| 1467900688 | Achieve Chiropractic and Wellness, Pa | Clinic/Center | 114 5th Ave W, Alexandria, MN 56308-1304 | 2016-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| 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 |
|---|---|---|---|---|
| 1255955928 | Ricardo Alejandro Rodriguez-vazquez | Chiropractor | 1727 King St Ste 322, Alexandria, VA 22314-2700 | 2020-05-29 |
| 1932733839 | Alexandria Chiropractic Clinic & Rehab, LLC | Chiropractor | 101 S Whiting St Ste 213, Alexandria, VA 22304-3416 | 2020-02-28 |
| 1508405861 | Stuart Donald Rubner | Chiropractor | 1804 Broadway St Ste 125, Alexandria, MN 56308-2686 | 2020-01-03 |
| 1104384940 | Ramon A Soto | Chiropractor | 5990 Richmond Hwy Apt 1019, Alexandria, VA 22303-2752 | 2019-03-11 |
| 1104398171 | Derek Goracke | Chiropractor | 510 22nd Ave E Ste 701, Alexandria, MN 56308-4817 | 2019-01-01 |
| 1831671155 | Melissa Ownby | Chiropractor | 115 S Saint Asaph St Ste D, Alexandria, VA 22314-3177 | 2018-09-04 |
| 1962990531 | Chancellor Eugene Foulks | Chiropractor | 6454 Old Beulah St, Alexandria, VA 22315-3721 | 2018-04-28 |
| 1528560430 | Jennifer Anne Briggs | Chiropractor | 1451 Belle Haven Rd Ste 330, Alexandria, VA 22307-1201 | 2018-03-06 |
| 1598203309 | Brian A Peters Jr. | Chiropractor | 1133 Macarthur Dr Ste B, Alexandria, LA 71303-3123 | 2017-02-01 |
| 1437694718 | Landon Edward Olson | Chiropractor | 507 N Nokomis St Ste B, Alexandria, MN 56308-2353 | 2016-12-22 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on DR. JEROD LYNN OCHSENDORF.
| 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.