DR. KEITH R POPOVICH (NPI# 1528015898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528015898 |
| Entity Type | Individual |
| Full Name | DR. KEITH R POPOVICH |
| Credential | DC |
| Practice Address |
4100 Liberty Way Elizabeth PA 15037-3016 |
| Practice Telephone | 4126730990 |
| Practice Fax Number | 4126730993 |
| Mailing Telephone | 4126730990 |
| Mailing Fax Number | 4126730993 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2011-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | AS008951 | PA | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | DC009125 | PA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467483412 | Keith J Popovich | Internal Medicine | 505 W Park St, Suite A, Butte, MT 59701-9106 | 2006-07-06 |
| Street Address |
4100 LIBERTY WAY |
| City | ELIZABETH |
| State | PA |
| Zip Code | 15037-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730564568 | Colleen A. Conlon | Dentist | 125 Rock Run Rd, Elizabeth, PA 15037 | 2015-07-22 |
| 1417010984 | Gerald E Pepe | Dentist | 125 Rock Run Road, Elizabeth, PA 15037 | 2006-12-18 |
| 1811081367 | L Robert Rack | Pharmacist | 404 Belfrey Drive, Elizabeth, PA 15037 | 2006-10-02 |
| 1952322026 | Elizabeth Township Area Ems | Ambulance | 911 Swiss Way, Elizabeth Township, PA 15037 | 2006-07-22 |
| 1407884927 | Amy Yurkovich | Specialist | 605 Scenery Drive, Elizabeth, PA 15037 | 2006-06-30 |
| 1689638223 | Christopher R Greenawalt | Chiropractor | 214 Second Ave., Elizabeth, PA 15037 | 2006-04-12 |
| 1821078924 | Theodore R Sames Jr. | Optometrist | 238 Cresswood Dr, Elizabeth, PA 15037 | 2006-01-17 |
| 1912984931 | Douglas Skinner | Family Medicine | 300 Scenery Drive, Elizabeth Township Family Medicine PC, Elizabeth, PA 15037 | 2005-12-30 |
| 1538770581 | Ellis Paul Mirone | Pharmacist | 300 Market St, Elizabeth, PA 15037 | 2020-08-13 |
| 1518449214 | Carley Mingone | Pharmacist | 300 Market St, Elizabeth, PA 15037 | 2018-08-30 |
| Find all providers in zip 15037 | ||||
| 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 |
|---|---|---|---|---|
| 1487081378 | Richard Howard Stark Jr. | Chiropractor | 110 Elmora Ave, Elizabeth, NJ 07202-1615 | 2013-10-09 |
| 1073947750 | Katherine Mulkin | Chiropractor | 3851 Willownook Ranch Trl, Elizabeth, CO 80107-6608 | 2013-08-29 |
| 1598014433 | Caitlin Nicole Mcginn | Chiropractor | 97 Calhoun Rd, Elizabeth, PA 15037-3026 | 2012-09-06 |
| 1134306186 | Boykin Chiropractic Care, P.C. | Chiropractor | 350 W. Kiowa Ave., Elizabeth, CO 80107 | 2008-01-22 |
| 1447436118 | Michael John Raczkowski | Chiropractor | 389 Pineview Dr, Elizabeth, PA 15037-9406 | 2008-01-12 |
| 1558544338 | Joseph Stewart Nieroda | Chiropractor | 925 Elizabeth Ave, Elizabeth, NJ 07201-2727 | 2007-12-14 |
| 1255510798 | Robert E Rhoderick Jr. | Chiropractor | 2611 Hayden Blvd, Elizabeth, PA 15037-9601 | 2007-11-01 |
| 1326231457 | Mark S Kirk | Chiropractor | 700 N Broad St Ste Ll2, 700 North Broad St, Ll2, Elizabeth, NJ 07208-2310 | 2007-08-22 |
| 1538373170 | Glenn Robert Bradley | Chiropractor | 909 Elizabeth Ave, Elizabeth, NJ 07201-2710 | 2007-05-10 |
| 1356481469 | Ann Ree Chumbley | Chiropractor | Hwy 86 & Forest Park Dr, Suite 101, Elizabeth, CO 80107 | 2007-02-07 |
| Find all providers in ELIZABETH | ||||
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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.