DR. DEBORAH LEE EBERT GROMMET (NPI# 1528002169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528002169 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH LEE EBERT GROMMET |
| Credential | D.C. |
| Practice Address |
1055 Commercial Blvd Herculaneum MO 63048-1415 |
| Practice Telephone | 6364754477 |
| Practice Fax Number | 6364754477 |
| Mailing Telephone | 6364754477 |
| Mailing Fax Number | 6364754477 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 005254 | MO | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | UNITED HEALTH CARE | 4406400 | 01 |
| MO | TAX ID NUMBER | 1830285 | 01 |
| MO | BC BS | 5944 | 01 |
| Street Address |
1055 COMMERCIAL BLVD |
| City | HERCULANEUM |
| State | MO |
| Zip Code | 63048-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104052034 | Daphane Angela Simora | Naturopath | 836 Brown St, Herculaneum, MO 63048 | 2009-06-05 |
| 1538281787 | Joseph Paul Schmieder | Dentist | 1171 Scenic Dr, Herculaneum, MO 63048 | 2007-04-06 |
| 1629402938 | Catherine Rapp | Speech-Language Pathologist | 497 Joachim Ave, Herculaneum, MO 63048 | 2013-08-23 |
| 1134397680 | Scenic Drive Dental Center | Dentist | 1171 Scenic Dr, Herculaneum, MO 63048-0337 | 2008-02-19 |
| 1548738719 | Community Treatment Inc. | Clinic/Center | 200 Senn Tomas Dr, Herculaneum, MO 63048-1033 | 2018-11-06 |
| 1609356179 | Kelsey Jungermann | Speech-Language Pathologist | 479 Joachim Ave, Herculaneum, MO 63048-1034 | 2018-08-15 |
| 1548435936 | Johanna Conine | Speech-Language Pathologist | 497 Joachim Ave, Herculaneum, MO 63048-1034 | 2008-04-25 |
| 1336622885 | Karissa Marie Vernon | Speech-Language Pathologist | 497 Joachim Ave, Herculaneum, MO 63048-1034 | 2018-09-11 |
| 1417437997 | Mallorie Renth | Speech-Language Pathologist | 479 Joachim Ave, Herculaneum, MO 63048-1034 | 2018-08-15 |
| 1851871339 | Danielle Recar | Occupational Therapist | 479 Joachim Ave, Herculaneum, MO 63048-1034 | 2018-08-15 |
| Find all providers in zip 63048 | ||||
| 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 |
|---|---|---|---|---|
| 1235730466 | Inline Chiropractic Center, LLC | Chiropractor | 244 W Mill St Ste 105, Liberty, MO 64068-2398 | 2020-11-04 |
| 1275133084 | Madison Huot | Chiropractor | 196 Hwy 100, Hermann, MO 65041 | 2020-10-30 |
| 1720688476 | Damien Sampson | Chiropractor | 1023 Main Plaza Dr Apt L, Wentzville, MO 63385-1170 | 2020-10-30 |
| 1184224495 | Michael Lentz | Chiropractor | 106 W Old Mill Rd, Fair Grove, MO 65648-8646 | 2020-10-27 |
| 1396344958 | Noah Adam Aldridge | Chiropractor | 2745 High Ridge Blvd Ste 5b, High Ridge, MO 63049-2200 | 2020-10-23 |
| 1982201455 | Maran Alexandra Tennis | Chiropractor | 211 Nw Executive Way Ste C, Lees Summit, MO 64063-1846 | 2020-10-07 |
| 1891392817 | Mason Coffman | Chiropractor | 101 N Lyon St, Butler, MO 64730-2131 | 2020-10-02 |
| 1255947230 | Matthew Mcpeak | Chiropractor | 4200 N Cloverleaf Dr Ste M, Saint Peters, MO 63376-6436 | 2020-09-16 |
| 1578179412 | James Crawford | Chiropractor | 2144 E Republic Rd Ste A104, Springfield, MO 65804-4645 | 2020-09-16 |
| 1780299164 | Michelle Marie Brungart | Chiropractor | 12201 Big Bend Rd Ste 200, Kirkwood, MO 63122-6831 | 2020-09-11 |
| Find all providers with the same taxonomy | ||||
| City | HERCULANEUM |
| Zip Code | 63048 |
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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.