FOUNDATION INTERESTS GROUP, P.C. (NPI# 1558719393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558719393 |
| Entity Type | Organization |
| Organization Name | FOUNDATION INTERESTS GROUP, P.C. |
| Other Organization Name | SPECIFIC CHIROPRACTIC |
| Practice Address |
2001 2nd St Sw Suite 125 Rochester MN 55902-4156 |
| Mailing Address |
835 40th St Nw Suite 217 Rochester MN 55901-4248 |
| Practice Telephone | 5073201555 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-07-25 |
| Authorized Official Name | DR. BRANDON MICKELSON (PRESIDENT) |
| Authorized Official Telephone | 5073201555 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5904 | MN | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Specific Chiropractic | Doing Business As Name - Organization |
| Street Address |
2001 2ND ST SW SUITE 125 |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902-4156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831166719 | Joshua A Holmes | Physical Therapist | 2001 2nd St Sw, Suite 115, Rochester, MN 55902-4144 | 2006-03-01 |
| 1134376460 | Holmes Physical Therapy Inc. | Physical Therapist | 2001 2nd St Sw, Suite 115, Rochester, MN 55902-4156 | 2008-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
| 1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
| 1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
| Find all providers in zip 55902 | ||||
| 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 |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1124646856 | Brayana Lashay Dudley | Chiropractor | 25 Scott Ln, Rochester, NY 14624-3919 | 2020-07-09 |
| 1649897893 | Mary-margaret Baukol | Chiropractor | 275 37th St Ne Ste 200, Rochester, MN 55906-5438 | 2020-07-02 |
| 1073159489 | Anh Wellness Chiropractic Pllc | Chiropractor | 500 Helendale Rd Ste 160, Rochester, NY 14609-3125 | 2019-11-20 |
| 1477103042 | Caitlin R Simpson | Chiropractor | 1655 Elmwood Ave Ste 235, Rochester, NY 14620-3431 | 2019-09-16 |
| 1447721048 | Holly A Potter | Chiropractor | 2005 Lyell Ave Ste 115, Rochester, NY 14606-2325 | 2018-12-08 |
| 1306343819 | Christopher J Hartley | Chiropractor | 3257 19th St Nw Ste 1, Rochester, MN 55901-6797 | 2018-04-11 |
| 1316445349 | Hudson Family Chiropractic, Pllc | Chiropractor | 470 Long Pond Rd Ste 270f, Rochester, NY 14612 | 2018-01-24 |
| 1174031652 | Joseph Tshamala | Chiropractor | 2164 Hudson Ave., Rochester, NY 14617 | 2018-01-18 |
| 1598290884 | Rochester Chiropractic & Welln | Chiropractor | 3510 8th St Nw # 100, Rochester, MN 55901-5927 | 2017-04-25 |
| Find all providers in ROCHESTER | ||||
Please comment or provide details below to improve the information on FOUNDATION INTERESTS GROUP, P.C..
| 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.