KOLTEN PEDIGO (NPI# 1568001907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568001907 |
| Entity Type | Individual |
| Full Name | KOLTEN PEDIGO |
| Credential | DC |
| Practice Address |
1616 W Main St Ste 503 Marion IL 62959-1146 |
| Practice Telephone | 6187722999 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038.013487 | IL | Chiropractic Providers |
| Street Address |
1616 W MAIN ST STE 503 |
| City | MARION |
| State | IL |
| Zip Code | 62959-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083254734 | Southern Spine & Rehab LLC | Clinic/Center | 1616 W Main St Ste 503, Marion, IL 62959-1146 | 2020-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| 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 |
|---|---|---|---|---|
| 1871139428 | Ted Oslay Dc PC | Chiropractor | 700 N Carbon St Suite B, Marion, IL 62959-1004 | 2019-11-19 |
| 1902387152 | Cory Marone | Chiropractor | 3846 Union St, Marion, NY 14505-9651 | 2018-08-26 |
| 1225534365 | Rachel L Evans | Chiropractor | 340 N Main St Ste 108, Marion, VA 24354-3360 | 2018-04-05 |
| 1437669942 | Marion Chiropractic Center LLC | Chiropractor | 123 S Chestnut St Ste 106, Marion, VA 24354-3150 | 2017-10-10 |
| 1447608757 | Darren Sealey | Chiropractor | 2516 E Highway 76, Suite B, Marion, SC 29571 | 2016-05-26 |
| 1861849689 | Tessa Harlow | Chiropractor | 1135 N Main St, Marion, NC 28752-4581 | 2016-05-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| 1821410606 | Alexander Riniker | Chiropractor | 915 Barrington Pkwy, Ste. A, Marion, IA 52302-9043 | 2014-01-13 |
| 1629318365 | Christopher Scott Wynn | Chiropractor | 107 Morningside Dr Ste 4, Marion, KY 42064 | 2013-02-17 |
| 1124305164 | Chan Bao Haldeman | Chiropractor | 1796 Marion Waldo Rd, Marion, OH 43302-7428 | 2011-11-04 |
| Find all providers in MARION | ||||
Please comment or provide details below to improve the information on KOLTEN PEDIGO.
| 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.