DR. KIMBERLY KAY SCARLASSARA (NPI# 1588823520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588823520 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY KAY SCARLASSARA |
| Credential | DC |
| Practice Address |
202 W Adams St Iron River MI 49935-1321 |
| Mailing Address |
202 W Adams St Iron River MI 49935-1433 |
| Practice Telephone | 9062659000 |
| Practice Fax Number | 9062659009 |
| Mailing Telephone | 9062659000 |
| Mailing Fax Number | 9062659009 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301009466 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 9768211 | 01 | |
| MI | BCBSMI | 950C610140 | 01 |
| Street Address |
202 W ADAMS ST |
| City | IRON RIVER |
| State | MI |
| Zip Code | 49935-1321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407963168 | Steven A Bathje | Optometrist | 202 W Adams St, Iron River, MI 49935-1433 | 2006-08-25 |
| 1578933081 | Northwoods Family Physical Medicine PC | Family Medicine | 202 W Adams St, Iron River, MI 49935-1433 | 2015-09-28 |
| 1154590107 | Steven A Bathje Od | Eyewear Supplier (Equipment, not the service) | 202 W Adams St, Box 352, Iron River, MI 49935-1433 | 2008-02-25 |
| 1578743332 | Diana J Hardy | Physician Assistant | 202 W Adams St, Iron River, MI 49935-1433 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457865198 | Aspirus Iron River Hospital & Clinics, Inc. | Clinic/Center | 814 South Ice Lake Road, Iron River, MI 49935 | 2017-11-16 |
| 1659807808 | Shannon Koski | Specialist/Technologist | 1800 N Verona Ave, Iron River, MI 49935 | 2017-05-10 |
| 1912166166 | Rk Atanasoff Od PC | Optometrist | 131 W Genesee St, Iron River, MI 49935 | 2008-06-03 |
| 1215102272 | Aspirus Iron River Hospital & Clinics, Inc. | Pathology | 1400 West Ice Lake Road, Iron River, MI 49935 | 2008-04-29 |
| 1164620555 | Mary Jo Rohde | Social Worker | 1201 Stambough Ave, Iron River, MI 49935 | 2007-07-06 |
| 1861693848 | Michael Wallace Varney | Psychologist | 217 North 10th Avenue, Iron River, MI 49935 | 2007-05-29 |
| 1962616623 | Advanced Care Smile Center Inc | Dentist | 528 N 1st Avenue, Iron River, MI 49935 | 2007-05-10 |
| 1376551788 | Raymond Krist Atanasoff | Optometrist | 131 W Genesee Street, Iron River, MI 49935 | 2006-08-03 |
| 1205873510 | Raymond J Meyers | Nurse Anesthetist, Certified Registered | 1400 Ice Lake Rd., Iron River, MI 49935 | 2006-06-02 |
| 1497750830 | Aspirus Iron River Hospital & Clinics, Inc. | General Acute Care Hospital | 1400 W Ice Lake Rd, Iron River, MI 49935 | 2005-06-14 |
| Find all providers in zip 49935 | ||||
| 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 |
|---|---|---|---|---|
| 1386053452 | Mark James Bugni | Chiropractor | 202 W Adams Street, Northwoods Family Chiropracitc, Iron River, MI 49935-1433 | 2014-08-04 |
| 1073777330 | Curtis W Steinberg Dcpc | Chiropractor | 1567 W Adams St, Iron River, MI 49935-1266 | 2008-07-16 |
| 1881875219 | Tony C Scarlassara | Chiropractor | 615 W Adams St, Iron River, MI 49935-1321 | 2007-11-14 |
| 1730199324 | Charles E Newby | Chiropractor | 415 N River Ave, Iron River, MI 49935-1442 | 2006-08-08 |
| 1649557257 | The Lakes Community Health Center, Inc | Chiropractor | 7665 Us Highway 2, Iron River, WI 54847-4690 | 2011-11-10 |
| 1295066389 | Northwoods Family Chiropractic PC | Chiropractor | 615 W Adams St, Iron River, MI 49935-1321 | 2010-01-29 |
| 1225285323 | Northwoods Family Chiropractic PC | Chiropractor | 615 W Adams St, Iron River, MI 49935-1321 | 2008-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860240 | Moriah K Severance | Chiropractor | 2449 W Kimmel Rd, Jackson, MI 49201-9783 | 2020-10-30 |
| 1760082465 | David Scott Severance | Chiropractor | 11720 Tompkins Rd, Rives Junction, MI 49277-9629 | 2020-10-30 |
| 1760082705 | Kelly Chiropractic Clinic, LLC | Chiropractor | 3179 12 Mile Rd, Berkley, MI 48072-1339 | 2020-10-29 |
| 1619584273 | Sydnee Laree Rutledge | Chiropractor | 3634 Mccain Rd Ste 7, Jackson, MI 49203-2576 | 2020-09-28 |
| 1790391860 | Ferras Dassouki | Chiropractor | 1126 Hunter Ct, Milford, MI 48381-3180 | 2020-09-23 |
| 1811503972 | Nicholas Heiserman | Chiropractor | 498 E Monroe St, Dundee, MI 48131-1321 | 2020-09-23 |
| 1114532835 | Pro-active Chiropractic Wellness of Grand Rapids | Chiropractor | 4270 Plainfield Ave Ne # E, Grand Rapids, MI 49525-1603 | 2020-09-10 |
| 1215540463 | Lake State Chiropractic Pllc | Chiropractor | 2155 84th St Sw Ste 4, Byron Center, MI 49315-8259 | 2020-08-27 |
| 1609488402 | Primrose Family Chiropractic and Wellness Center | Chiropractor | 25900 Greenfield Rd Suite 252, Oak Park, MI 48237-1297 | 2020-08-21 |
| 1780295063 | Wilhelm Family Chiropractic and Massage Pllc | Chiropractor | 23200 Pontiac Trl, South Lyon, MI 48178-1983 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | IRON RIVER |
| Zip Code | 49935 |
Please comment or provide details below to improve the information on DR. KIMBERLY KAY SCARLASSARA.
| 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.