DR. LESLIE KEVIN ETHRIDGE (NPI# 1598197584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598197584 |
| Entity Type | Individual |
| Full Name | DR. LESLIE KEVIN ETHRIDGE |
| Credential | D.C. |
| Practice Address |
124 Ford Ave Newton MS 39345-2222 |
| Practice Telephone | 6015279707 |
| Mailing Telephone | 6015279707 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 1209 | MS | Chiropractic Providers |
| Y | 111NN0400X |
Chiropractor Specialization: Neurology |
1209 | MS | Chiropractic Providers |
| N | 111NN1001X |
Chiropractor Specialization: Nutrition |
1209 | MS | Chiropractic Providers |
| N | 111NR0200X |
Chiropractor Specialization: Radiology |
1209 | MS | Chiropractic Providers |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
1209 | MS | Chiropractic Providers |
| N | 111NT0100X |
Chiropractor Specialization: Thermography |
1209 | MS | Chiropractic Providers |
| N | 111NX0100X |
Chiropractor Specialization: Occupational Health |
1209 | MS | Chiropractic Providers |
| N | 111NX0800X |
Chiropractor Specialization: Orthopedic |
1209 | MS | Chiropractic Providers |
| N | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
1209 | MS | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
1209 | MS | Chiropractic Providers |
| Street Address |
124 FORD AVE |
| City | NEWTON |
| State | MS |
| Zip Code | 39345-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939318 | Smith Pharmacy, Inc. | Pharmacy | 306 Northside Drive, Newton, MS 39345 | 2019-12-16 |
| 1750838330 | Newton Dme and Supply | Durable Medical Equipment & Medical Supplies | 909 Mlkjrdr, Newton, MS 39345 | 2016-09-01 |
| 1669743233 | Pioneer Health Services of Newton County, LLC | Clinic/Center | 9427 Eastside Drive Ext. Suite A, Newton, MS 39345 | 2012-01-13 |
| 1346435633 | Laticia Bickham | Counselor | 2901 Pine Bluff Rd, Newton, MS 39345 | 2007-09-10 |
| 1134262553 | Buren Steve Smith Jr. | Psychologist | 701 Northside Dr, Newton, MS 39345 | 2007-02-15 |
| 1982782694 | East Central Planning & Development District | Case Management | 280 Commercial Dr, Newton, MS 39345 | 2006-11-01 |
| 1013283829 | Vanessa Norman | Nurse Practitioner | 252 Northside Dr, Newton, MS 39345 | 2012-03-26 |
| 1669612198 | Pioneer Health Services of Newton County, LLC | Medicare Defined Swing Bed Unit | 9421 Eastside Drive Extention, Newton, MS 39345 | 2009-02-24 |
| 1063667939 | Newton Hospital, Inc | General Acute Care Hospital | 9421 Eastside Drive Extention, Newton, MS 39345 | 2008-11-19 |
| 1629143136 | Pioneer Health Services of Newton County, LLC | Psychiatric Unit | 9421 Eastside Drive Extention, Newton, MS 39345 | 2006-11-21 |
| Find all providers in zip 39345 | ||||
| Taxonomy Code | 111NN0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Neurology |
| Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions. |
| Notes: Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619236676 | Bradford Kimball Weathers | Chiropractor | 250 S Broad St, Liberty, MS 39645-8029 | 2012-05-11 |
| 1811258528 | Rutherford Chiropractic Neurology Center, Pllc | Chiropractor | 332 E Madison St, Houston, MS 38851-2321 | 2012-05-30 |
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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.