DR. JESSE ANDERSON (NPI# 1518368836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518368836 |
| Entity Type | Individual |
| Full Name | DR. JESSE ANDERSON |
| Credential | DC |
| Practice Address |
982 N Taylor St Green Bay WI 54303-1202 |
| Practice Telephone | 9204719449 |
| Mailing Telephone | 9204719449 |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2014-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5043 - 12 | WI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609403112 | Jesse Anderson | Social Worker | 1303c Nicholas St, Easton, PA 18045 | 2020-03-25 |
| 1538661186 | Jesse Anderson | Specialist/Technologist | 102 Iverson St W, Saint Joseph, MN 56374-4650 | 2018-02-28 |
| 1164710349 | Jesse Lee Anderson | Physical Therapist | 30 Lawrence Rd Ste 900, Broomall, PA 19008-3301 | 2011-07-21 |
| 1770583080 | Jesse Anderson IIi | Podiatrist | 2401 Godwin Blvd Ste 1, Suffolk, VA 23434-8178 | 2005-07-28 |
| 1750916763 | Jesse Michael Anderson | Physician Assistant | 35 State Ave Ste 1, Faribault, MN 55021-6369 | 2020-03-10 |
| 1578069340 | Jesse Paul Anderson | Behavioral Analyst | 102 Westlake Dr, West Lake Hills, TX 78746-5394 | 2018-04-02 |
| 1629580436 | Jesse Anderson | Orthopaedic Surgery | 18444 N 25th Ave Ste 210, Phoenix, AZ 85023 | 2017-11-02 |
| 1104378215 | Jesse Ward Anderson | Physician Assistant | 207 Foote Ave, Jamestown, NY 14701-7077 | 2016-10-25 |
| 1720333628 | Jesse Willis Anderson | Registered Nurse | 2789 Ortiz Ave, Fort Myers, FL 33905-7806 | 2012-07-17 |
| 1497835474 | Jesse Anderson | Pharmacy Technician | 1001 N Country Club Rd, Ada, OK 74820-2847 | 2006-10-16 |
| Street Address |
982 N TAYLOR ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| 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 |
|---|---|---|---|---|
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1376067413 | Tyler Allen Malueg | Chiropractor | 2069 Central Ct Ste 11, Green Bay, WI 54311-4281 | 2017-07-31 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1982082277 | Matthew Hallam | Chiropractor | 1541 Bellevue St Ste 5, Green Bay, WI 54311-6266 | 2015-05-07 |
| 1861893018 | Leah Hetebrueg | Chiropractor | 2066 Central Dr, Unit D, Green Bay, WI 54311-4244 | 2014-09-08 |
| 1043556780 | Kellen James Binder | Chiropractor | 2638 Tulip Lane, Suite B, Green Bay, WI 54313 | 2012-12-28 |
| 1083980981 | Healthy Living Chiropractic Clinic Inc. | Chiropractor | 858 Hansen Rd, Green Bay, WI 54304-5324 | 2012-03-26 |
| 1730409111 | Cornerstone Chiropractic Sc | Chiropractor | 2763 S Oneida St, Green Bay, WI 54304-5750 | 2010-06-08 |
| 1689906240 | Hazuka Spinal Center Inc | Chiropractor | 1742 E Mason St, Green Bay, WI 54302-3259 | 2010-02-08 |
| 1497989677 | Erin Ann Denil | Chiropractor | 1028 9th St, Green Bay, WI 54304-3445 | 2009-05-04 |
| Find all providers in GREEN BAY | ||||
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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.