BOHANNON CHIROPRACTIC CLINIC INC (NPI# 1528193067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528193067 |
| Entity Type | Organization |
| Organization Name | BOHANNON CHIROPRACTIC CLINIC INC |
| Practice Address |
1425 W Central El Dorado KS 67042-2222 |
| Practice Telephone | 3163211667 |
| Practice Fax Number | 3163211762 |
| Mailing Telephone | 3163211667 |
| Mailing Fax Number | 8883436040 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2013-03-19 |
| Authorized Official Name | DR. CARL DOUGLAS BOHANNON (OWNER) |
| Authorized Official Telephone | 3163211667 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3679 | KS | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS | 14222 | 01 |
| Street Address |
1425 W CENTRAL |
| City | EL DORADO |
| State | KS |
| Zip Code | 67042-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
| 1902262355 | Lisbeth Leiber | Nurse Practitioner | 1737 Se Hwy 54, El Dorado, KS 67042 | 2016-01-14 |
| 1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
| 1962608893 | South Central Mental Health Counseling Center Inc | Social Worker | 120 S Gordy, 3, El Dorado, KS 67042 | 2007-06-26 |
| 1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
| 1548388598 | Richard Alan Burton | Dentist | 310 Oil Hill Road, El Dorado, KS 67042 | 2007-03-27 |
| 1710002472 | Tender Care Pediatrics Pa | Pediatrics | 700 W. Central Ave, Ste 210, El Dorado, KS 67042 | 2007-03-20 |
| Find all providers in zip 67042 | ||||
| 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 |
|---|---|---|---|---|
| 1720260987 | Jed Frisby | Chiropractor | 431 E Hillsboro St, El Dorado, AR 71730-7303 | 2007-11-29 |
| 1093904641 | Steven Clark South | Chiropractor | 1008 Nw Ave, El Dorado, AR 71730 | 2007-10-19 |
| 1811196603 | Martin Yablonovsky | Chiropractor | 6211b Pleasant Valley Rd, El Dorado, CA 95623-4232 | 2007-07-12 |
| 1023157740 | Gordon Harrison | Chiropractor | 1200 W Central Ave, El Dorado, KS 67042-2123 | 2007-02-06 |
| 1942363965 | Carl Douglas Bohannon | Chiropractor | 1425 E Central, El Dorado, KS 67042-2222 | 2006-12-19 |
| 1508943804 | Todd Henry Eck | Chiropractor | 112 S Main, Suite 100, El Dorado, KS 67042 | 2006-11-01 |
| 1477634889 | Graden Earl Hall | Chiropractor | 1602 East Main St, El Dorado, AR 71730 | 2006-10-19 |
| 1396848495 | Rickey Lee Brown | Chiropractor | 120 N College Ave, El Dorado, AR 71730-5402 | 2006-09-06 |
| 1407860448 | Harry A Thomas | Chiropractor | 1930 W 3rd Ave, El Dorado, KS 67042-3321 | 2006-07-27 |
| 1407872427 | James D Johnson | Chiropractor | 704 S Timberlane Dr, Ste.13, El Dorado, AR 71730-6929 | 2006-07-14 |
| Find all providers in EL DORADO | ||||
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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.